| Magnolia Internal Medicine | |
|
2000 E Shiloh Rd Corinth MS 38834-3724 | |
| (662) 293-1000 | |
| Not Available |
| Full Name | Magnolia Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 E Shiloh Rd, Corinth, Mississippi |
| Authorized Official Name and Position | Ronny Humes (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6622937664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Internal Medicine 2000 E Shiloh Rd Corinth MS 38834-3724 Ph: () - | Magnolia Internal Medicine 2000 E Shiloh Rd Corinth MS 38834-3724 Ph: (662) 293-1000 |
| NPI Number | 1912443722 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Medicare PECOS PAC ID | 7810273026 |
|---|---|
| Medicare Enrollment ID | O20170425000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912443722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy L Noyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649294042 PECOS PAC ID: 9032193685 Enrollment ID: I20040615000979 |
| Provider Name | Elizabeth B Wilbanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174870802 PECOS PAC ID: 9931350246 Enrollment ID: I20121114000599 |
| Provider Name | Joy Hyacinth Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134356090 PECOS PAC ID: 4486819018 Enrollment ID: I20131017000733 |
| Provider Name | Valerie D Norton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770855173 PECOS PAC ID: 3173749736 Enrollment ID: I20140717001456 |
| Provider Name | John P Preece |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750723110 PECOS PAC ID: 8527359645 Enrollment ID: I20160621002000 |
Boa Vida Hospital Of Aberdeen, Ms, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 Alcorn Dr, Corinth, MS 38834 Phone: 663-396-4733 | |
Magnolia Physician Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-7618 | |
Magnolia Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Alcorn Dr, Suite 109, Corinth, MS 38834 Phone: 662-286-1499 Fax: 662-286-9041 | |
Magnolia Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3714 Highway 72 W, Corinth, MS 38834 Phone: 662-293-1575 Fax: 662-293-1576 | |
Magnolia Regional Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Magnolia Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Norman Rd, Corinth, MS 38834 Phone: 662-293-1000 | |
Magnolia Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3704 Highway 72 W, Corinth, MS 38834 Phone: 662-665-8041 Fax: 662-665-8049 |