| NPI | 1104279231 |
|---|---|
| Doing Business As | MAGNOLIA INFECTIOUS DISEASE |
| Entity Type | Organization |
| Authorized Contact | HOWARD NELSON VP Physicain Services 662-293-7618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2019-01-23 |