NPI 1144491580

Magnolia Woman's Clinic, P.A.

Organisation Obstetrics Physician Jackson, MS

Practice location

Address: 970 Lakeland Dr Suite 43, Jackson, MS 39216-4635
Phone: (601) 200-8201

Authorised official

Name: Walter Ray Wolfe
Title: Owner/President
Phone: (601) 200-8201

Registered specialties

Obstetrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VX0000X Licence 11096 (MS)

Other Obstetrics & Gynecology providers in Mississippi →

Registry record

NPI: 1144491580
Entity type: Organization
NPI issued: 13 Mar 2008
Record last updated: 13 Mar 2008

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.