Organization
MAGNOLIA ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK ALVIN CORDER M.D. (OWNER/PHYSICIAN/MEDICAL DIRECTOR)
(662) 284-9902
Entity
Organization
Contact information
Practice address
3050 CORDER DR, CORINTH, MS 38834-6210
(662) 284-9902
(662) 284-9904
Mailing address
PO BOX 600, CORINTH, MS 38835-0600
(662) 284-9902
(662) 284-9904
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770615
—
MS
Enumeration date
11/29/2005
Last updated
09/08/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up