MAGNOLIA CLINIC

MERIDIAN, MS
NPI1093038234
Doing Business AsEAST MS STATE HOSPITAL
Entity TypeOrganization
Authorized ContactCHARLES CARLISLE
Director
601-581-7836
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: MS  31 136)
Enumeration Date2010-03-02
Last Update Date2010-03-02
Business Address
MAGNOLIA CLINIC
4555 HIGHLAND PARK DR
MERIDIAN, MS 39307-5429
Phone number: 601-481-1135
Mailing Address
MAGNOLIA CLINIC
P O BOX 4128, WEST STATION 4555 HIGHLAND PARK DRIVE
MERIDIAN,, MS 39304-4128
Phone number: 601-481-1135