| Magnolia Regional Health Center | |
|
6659 Michie Pebble Hill Rd Michie TN 38357-5115 | |
| (731) 227-5211 | |
| (731) 227-5212 |
| Full Name | Magnolia Regional Health Center |
|---|---|
| Speciality | General Practice |
| Location | 6659 Michie Pebble Hill Rd, Michie, Tennessee |
| Authorized Official Name and Position | James Hobson (CEO) |
| Authorized Official Contact | 6622937664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Regional Health Center 401 Alcorn Dr Ste 2c Corinth MS 38834-9073 Ph: (662) 293-1553 | Magnolia Regional Health Center 6659 Michie Pebble Hill Rd Michie TN 38357-5115 Ph: (731) 227-5211 |
| NPI Number | 1790533586 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 9739078460 |
|---|---|
| Medicare Enrollment ID | O20240620002237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790533586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jennifer Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053884106 PECOS PAC ID: 4486003175 Enrollment ID: I20240711002783 |
Michie Medical Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6659 Michie Pebble Hill Rd, Michie, TN 38357 Phone: 731-632-1783 |