NPI 1629516968

Magnolia Surgical Clinic

Organisation Surgery Physician Corinth, MS

Practice location

Address: 703 Alcorn Dr Suite 102, Corinth, MS 38834-9302
Phone: (662) 286-2522
Fax: (662) 293-4288

Authorised official

Name: Ronny D Humes
Title: Ceo
Phone: (662) 293-7664

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Mississippi →

Registry record

NPI: 1629516968
Entity type: Organization
NPI issued: 7 Feb 2017
Record last updated: 7 Feb 2017

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.