| Magnolia Family Medicine, Pllc | |
|
415 Marion Ave Suite 399 Mccomb MS 39648-2709 | |
| (601) 684-8800 | |
| (601) 914-2937 |
| Full Name | Magnolia Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 415 Marion Ave, Mccomb, Mississippi |
| Authorized Official Name and Position | Larry Lee Montgomery (OWNER) |
| Authorized Official Contact | 6016848800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Medicine, Pllc 1074 Brandon Dr Mccomb MS 39648-6130 Ph: (601) 684-1633 | Magnolia Family Medicine, Pllc 415 Marion Ave Suite 399 Mccomb MS 39648-2709 Ph: (601) 684-8800 |
| NPI Number | 1699787515 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699787515 | NPI | - | NPPES |
| 00120513 | Medicaid | MS | |
| 16277 | Other | MS | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16277 (Mississippi) | Primary |
Hands Of Purpose Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W Georgia Ave, Mccomb, MS 39648 Phone: 601-324-3057 Fax: 601-980-0360 | |
Statcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 Delaware Ave, Mccomb, MS 39648 Phone: 601-250-1122 Fax: 601-250-0290 | |
Compassionate Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Marion Ave, Mccomb, MS 39648 Phone: 407-558-0270 | |
Anazia Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 5th Avenue, Mccomb, MS 39648 Phone: 601-249-0013 Fax: 601-249-0592 | |