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1467567990
MAGNOLIA INTERNAL MEDICAL CLINIC
FLOWOOD, MS
NPI
1467567990
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Entity Type
Organization
Authorized Contact
EVAN L. SUMMERS
President
601-933-9696
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS 16638)
Enumeration Date
2006-08-21
Last Update Date
2007-07-13
Business Address
MAGNOLIA INTERNAL MEDICAL CLINIC
5 RIVER BEND PL SUITE C
FLOWOOD, MS 39232-7618
Phone number: 601-933-9696
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Mailing Address
MAGNOLIA INTERNAL MEDICAL CLINIC
PO BOX 321411
FLOWOOD, MS 39232-1411
Phone number: 601-933-9696
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