| Magnolia Family Medical Clinic | |
|
1660 S Colorado St Greenville MS 38703-7216 | |
| (662) 332-2077 | |
| (662) 332-0790 |
| Full Name | Magnolia Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1660 S Colorado St, Greenville, Mississippi |
| Authorized Official Name and Position | John B Kayoma (OWNER) |
| Authorized Official Contact | 6623322077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Medical Clinic 1660 S Colorado St Greenville MS 38703-7216 Ph: (662) 332-2077 | Magnolia Family Medical Clinic 1660 S Colorado St Greenville MS 38703-7216 Ph: (662) 332-2077 |
| NPI Number | 1023228632 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023228632 | NPI | - | NPPES |
| 578968167B | Other | MS | BLUE CROSS OF MS |
| 01722576 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17503 (Mississippi) | Primary |
The Greenville Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-332-9872 Fax: 662-332-9878 | |
Infusions,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 E Union St, Greenville, MS 38703 Phone: 662-332-1153 Fax: 662-332-1157 | |
Dominick Trinca, M.d. Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 Highway 1 S, Greenville, MS 38701 Phone: 662-820-4363 | |
Np Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 559a Highway 1 N, Greenville, MS 38701 Phone: 662-702-5159 Fax: 662-702-5164 | |
Delta Health Provider Based Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783 Fax: 662-725-2289 | |
F H Faith Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Hospital St, Greenville, MS 38703 Phone: 662-332-8848 Fax: 662-332-8854 |