Organization
MAGNOLIA ANESTHESIOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY STRICKLAND (ADMINISTRATOR)
(662) 665-0457
Entity
Organization
Contact information
Practice address
401 ALCORN DR, CORINTH, MS 38834-9067
(662) 665-0457
(662) 665-0458
Mailing address
PO BOX 24023, JACKSON, MS 39225-4023
(622) 662-6650
(622) 665-0458
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015115
—
MS
Enumeration date
11/09/2005
Last updated
08/22/2020
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