| NPI | 1346522653 |
|---|---|
| Doing Business As | MAGNOLIA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES CARLISLE Hospital Director 601-581-7878 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MS 31-136) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2020-05-12 |