Organization
MAGNOLIA ELITE WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKEIA BENNETT NP (MANAGER)
(601) 754-1922
Entity
Organization
Contact information
Practice address
110 MAGNOLIA PLACE CIR, BRANDON, MS 39047-8817
(601) 754-1922
Mailing address
110 MAGNOLIA PLACE CIR, BRANDON, MS 39047-8817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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