NPI 1114421021
Magnolia Medical Foundation
Practice location
- Address
- 1230 Raymond Rd STE 600, Jackson, MS 39204-4579
- Phone
- (601) 613-3737
Authorised official
- Name
- Erica Thompson
- Title
- Executive Director
- Phone
- (601) 613-3737
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1114421021
- Entity type
- Organization
- NPI issued
- 23 Mar 2018
- Record last updated
- 23 Mar 2018
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.