Organization
MAGNOLIA INTERNAL MEDICINE
Active
Parent organization
MAGNOLIA REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Authorized official
MR. RONNY HUMES (CHIEF EXECUTIVE OFFICER)
(662) 293-7664
Entity
Organization
Contact information
Practice address
2000 E SHILOH RD, CORINTH, MS 38834-3724
(662) 293-1000
Mailing address
2000 E SHILOH RD, CORINTH, MS 38834-3724
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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