| Magnolia Medical Clinic | |
|
1413 Strong Ave Greenwood MS 38930-4035 | |
| (662) 459-1207 | |
| Not Available |
| Full Name | Magnolia Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1413 Strong Ave, Greenwood, Mississippi |
| Authorized Official Name and Position | Jennifer Dawne Holmes (CFO) |
| Authorized Official Contact | 6624592603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medical Clinic Po Box 1410 Greenwood MS 38935-1410 Ph: (662) 459-1207 | Magnolia Medical Clinic 1413 Strong Ave Greenwood MS 38930-4035 Ph: (662) 459-1207 |
| NPI Number | 1295704922 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295704922 | NPI | - | NPPES |
| 07004257 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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