| NPI | 1245581370 |
|---|---|
| Doing Business As | MAGNOLIA MEDICAL CLINICS |
| Doing Business As | GLUCKSTADT FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | PARVESH K. GOEL Md 601-707-5621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2021-04-06 |