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Organization

MAGNOLIA DERMATOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTIN COLLIER HURT MD (MEDICAL DOCTOR)
(601) 910-3004
Entity
Organization

Contact information

Practice address
815 HIGHWAY 80 E, CLINTON, MS 39056-5252
(601) 910-3004
Mailing address
815 HIGHWAY 80 E, CLINTON, MS 39056-5252
(601) 910-3004

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21939
MS

Other

Enumeration date
05/02/2016
Last updated
05/02/2016
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