| NPI | 1104078328 |
|---|---|
| Doing Business As | MAGNOLIA PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES HOBSON CEO 662-293-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-08-08 |