NPI 1134142284

Magnolia Surgical Group

Organisation Surgery Physician Corinth, MS

Practice location

Address: 703 Alcorn Drive 102, Corinth, MS 38834-9323
Phone: (662) 286-2522
Fax: (662) 293-4288
Mailing address: P.O. Box 2040, Corinth, MS 38835-9302

Authorised official

Name: Howard Nelson
Title: Vp Physician Services
Phone: (662) 293-7618

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Mississippi →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 05438 (MS)

Registry record

NPI: 1134142284
Entity type: Organization
NPI issued: 26 Jul 2006
Record last updated: 25 Jan 2019

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.