| NPI | 1265319453 |
|---|---|
| Doing Business As | MAGNOLIA DIGESTIVE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHANNON PALMER Financial Analyst 662-293-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |