| Magnolia Optimized Care, PLLC | |
|
120 Harvey Watkins Dr N Canton MS 39046-3624 | |
| (601) 213-4302 | |
| Not Available |
| Full Name | Magnolia Optimized Care, PLLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 120 Harvey Watkins Dr N, Canton, Mississippi |
| Authorized Official Name and Position | Keianna Luckett (NURSE PRACTITIONER) |
| Authorized Official Contact | 6012134302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Optimized Care, PLLC 120 Harvey Watkins Dr N Canton MS 39046-3624 Ph: (601) 213-4302 | Magnolia Optimized Care, PLLC 120 Harvey Watkins Dr N Canton MS 39046-3624 Ph: (601) 213-4302 |
| NPI Number | 1831041946 |
|---|---|
| Provider Enumeration Date | 02/11/2026 |
| Last Update Date | 02/11/2026 |
| Certification Date | 02/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831041946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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