| NPI | 1588491377 |
|---|---|
| Doing Business As | MAGNOLIA PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHANNON PALMER Director 662-293-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |