| Magnolia Specialty Clinic | |
|
3704 Highway 72 W Corinth MS 38834-8556 | |
| (662) 665-8041 | |
| (662) 665-8049 |
| Full Name | Magnolia Specialty Clinic |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 3704 Highway 72 W, Corinth, Mississippi |
| Authorized Official Name and Position | Marc Nakagawa (CFO) |
| Authorized Official Contact | 6622937660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Specialty Clinic 401 Alcorn Dr Ste 2c Corinth MS 38834-9073 Ph: (662) 293-7618 | Magnolia Specialty Clinic 3704 Highway 72 W Corinth MS 38834-8556 Ph: (662) 665-8041 |
| NPI Number | 1104464395 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 05/14/2021 |
| Certification Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104464395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
Mrh Medical Group, Corinth Alcorn Dr. 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 Women's 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 Infectious Disease 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 |