NPI 1063433233

Magnolia Orthopaedics & Sports Medicine, P.A.

Organisation Sports Medicine (Orthopaedic Surgery) Physician Corinth, MS

Practice location

Address: 611 Alcorn Dr Suite 100, Corinth, MS 38834-9321
Phone: (662) 286-6369
Fax: (662) 286-2768

Authorised official

Name: Charlie Gooch
Title: Office Manager
Phone: (662) 286-6369

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X

Other Orthopaedic Surgery providers in Mississippi →

Registry record

NPI: 1063433233
Entity type: Organization
NPI issued: 22 Jul 2006
Record last updated: 15 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.