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Organization

MAGNOLIA SPECIALTY 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. HOWARD NELSON (VP PHYSICIAN SERVICES)
(662) 293-7618
Entity
Organization

Contact information

Practice address
3704 HWY. 72 WEST, CORINTH, MS 38834-8556
(662) 665-8041
(662) 665-8049
Mailing address
P.O. BOX 2040, CORINTH, MS 38835-2040
(662) 665-8041
(662) 665-8049

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
07/10/2012
Last updated
01/25/2019
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