Organization
MAGNOLIA MEDICAL CLINIC
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
MR. RONNY D. HUMES (CEO/ME)
(662) 293-7664
Entity
Organization
Contact information
Practice address
502 ALCORN DRIVE, CORINTH, MS 38834-9323
(662) 287-5216
(662) 287-8406
Mailing address
P.O. BOX 2040, CORINTH, MS 38835-2040
(662) 287-5216
(662) 287-8406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
07/21/2015
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