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Organization

MAGEE BENEVOLENT ASSN DBA PEDIATRIC CLINIC OF MAGEE

Active
Parent organization
MAGEE BENEVOLENT ASSOCIATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAGEE BENEVOLENT ASSOCIATION
Authorized official
NANCY R EATMON (PRACTICE MANAGER)
(601) 849-7215
Entity
Organization

Contact information

Practice address
300 3RD AVE SE, MAGEE, MS 39111-3665
(601) 849-7215
(601) 849-7221
Mailing address
300 3RD AVE SE, MAGEE, MS 39111-3665
(601) 849-7215
(601) 849-7221

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
04/05/2010
Last updated
04/05/2010
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