Organization
MAGNOLIA ER PROVIDERS
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
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1175
(662) 293-4323
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1175
(662) 293-4323
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
12/09/2020
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