Organization
MAGNOLIA PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON CODY PICKETT M.D. (PHYSICIAN)
(662) 223-3737
Entity
Organization
Contact information
Practice address
1265 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6749
(662) 223-3737
(601) 429-9294
Mailing address
1265 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6749
(662) 223-3737
(601) 429-9294
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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