Organization
MAGNOLIA FAMILY MEDICAL PRACTICE
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
RONNY HUMES (CEO)
(662) 293-7664
Entity
Organization
Contact information
Practice address
121 PRATT DR STE 1A, CORINTH, MS 38834-6026
(662) 286-0088
(662) 286-0067
Mailing address
401 ALCORN DR STE 2C, CORINTH, MS 38834-9073
(662) 293-7266
(662) 293-6255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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