NPI 1982009031

Magnolia General and Vascular Surgery Clinic

Organisation Surgery Physician Corinth, MS

Practice location

Address: 611 Alcorn Dr STE 210, Corinth, MS 38834-9323
Phone: (662) 284-9910
Fax: (662) 284-9970
Mailing address: P.O Box 2040, Corinth, MS 38835-2040

Authorised official

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

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Mississippi →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Registry record

NPI: 1982009031
Entity type: Organization
NPI issued: 31 Oct 2014
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.