NPI 1366463549

Magnolia Professional Associates

Organisation Surgery Physician Corinth, MS

Practice location

Address: 703 Alcorn Drive 109, Corinth, MS 38834-9323
Phone: (662) 286-2522
Fax: (662) 293-4288
Mailing address: P.O. Box 2040, Corinth, MS 38835-2040

Authorised official

Name: Jason Coley
Title: Executive Director Physician Servic
Phone: (662) 293-7678

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Mississippi →

Registry record

NPI: 1366463549
Entity type: Organization
NPI issued: 22 Jul 2006
Record last updated: 14 May 2021

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.