| Magnolia Medical Clinic Llc | |
|
431 Broad St Columbia MS 39429-3056 | |
| (601) 736-8212 | |
| Not Available |
| Full Name | Magnolia Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 431 Broad St, Columbia, Mississippi |
| Authorized Official Name and Position | Kristyn Bumpers (PHARMACIST) |
| Authorized Official Contact | 6014414400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medical Clinic Llc 79 Highpointe Dr Hattiesburg MS 39402-9536 Ph: () - | Magnolia Medical Clinic Llc 431 Broad St Columbia MS 39429-3056 Ph: (601) 736-8212 |
| NPI Number | 1356179295 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356179295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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