Organization
MAGNOLIA EAR NOSE & THROAT
Active
Organization
MAGNOLIA EAR NOSE & THROAT
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
RONNY HUMES (CEO)
(662) 293-7664
Entity
Organization
Contact information
Practice address
401 ALCORN DR, SUITE 2 D, CORINTH, MS 38834
(662) 293-1565
(662) 293-4204
Mailing address
401 ALCORN DR STE 2C, CORINTH, MS 38834-9073
(662) 293-7266
(662) 293-6255
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07633259
—
MS
01
—
583312
MS MEDICARE
MS
Enumeration date
02/07/2017
Last updated
07/18/2018
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