Organization
MAGNOLIA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY PAUL MCDONALD MD (PARTNER)
(901) 497-9888
Entity
Organization
Contact information
Practice address
7900 AIRWAYS BLVD STE 2, SOUTHAVEN, MS 38671-4113
(662) 404-8630
Mailing address
120 STONE CREEK BLVD STE 200, FLOWOOD, MS 39232-8210
(601) 934-2641
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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