| Magnolia Medical Clinics | |
|
1082a Gluckstadt Rd Madison MS 39110-7243 | |
| (601) 707-5621 | |
| Not Available |
| Full Name | Magnolia Medical Clinics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1082a Gluckstadt Rd, Madison, Mississippi |
| Authorized Official Name and Position | Parvesh K. Goel (MD) |
| Authorized Official Contact | 6017075621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medical Clinics Po Box 607 Canton MS 39046 Ph: (601) 859-9888 | Magnolia Medical Clinics 1082a Gluckstadt Rd Madison MS 39110-7243 Ph: (601) 707-5621 |
| NPI Number | 1245581370 |
|---|---|
| Provider Enumeration Date | 09/28/2012 |
| Last Update Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245581370 | NPI | - | NPPES |
| 25D1087086 | Other | MS | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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