Organization
MAGNOLIA STATE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J.M. CUMMINS, MD MD (MD/OWNER)
(662) 993-9458
Entity
Organization
Contact information
Practice address
1009 CITY AVE N STE B, RIPLEY, MS 38663-1414
(662) 993-9458
(662) 993-9459
Mailing address
1009 B CITY AVENUE NORTH, SUITE B, RIPLEY, MS 38663
(662) 993-9458
(662) 993-9459
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19838
MS
Other
Enumeration date
08/23/2007
Last updated
01/25/2011
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