NPI | 1093298580 |
---|---|
Other Name | MAGNOLIA FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | REX E JONES Chief Executive Officer 870-235-3212 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2018-09-11 |
Last Update Date | 2020-09-17 |