Magnolia Physician Services, Inc | |
611 Alcorn Dr Corinth MS 38834-9321 | |
(662) 293-7618 | |
Not Available |
Full Name | Magnolia Physician Services, Inc |
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Speciality | Internal Medicine |
Location | 611 Alcorn Dr, Corinth, Mississippi |
Authorized Official Name and Position | Howard D. Nelson (VP PHYSICIAN SERVICES) |
Authorized Official Contact | 6622937649 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Magnolia Physician Services, Inc Po Box 2040 Corinth MS 38835-2040 Ph: (662) 287-6913 | Magnolia Physician Services, Inc 611 Alcorn Dr Corinth MS 38834-9321 Ph: (662) 293-7618 |
NPI Number | 1073827549 |
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Provider Enumeration Date | 07/27/2010 |
Last Update Date | 01/23/2019 |
Medicare PECOS PAC ID | 5193912889 |
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Medicare Enrollment ID | O20101207000799 |
Identifier | Type | State | Issuer |
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1073827549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Amy B Davis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1184755308 PECOS PAC ID: 7618866856 Enrollment ID: I20040315000332 |
Provider Name | Felton Combest |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356399513 PECOS PAC ID: 7012981970 Enrollment ID: I20040825000825 |
Provider Name | Joseph D Austin |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1316028194 PECOS PAC ID: 8820066806 Enrollment ID: I20040917000651 |
Provider Name | Michael D Shaw |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235115056 PECOS PAC ID: 9830001288 Enrollment ID: I20040922000810 |
Provider Name | David Webb |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1083685259 PECOS PAC ID: 2961470166 Enrollment ID: I20040923001195 |
Provider Name | Rachel D Rolison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770521494 PECOS PAC ID: 9133168552 Enrollment ID: I20050426000763 |
Provider Name | Matthew P Miley |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356364988 PECOS PAC ID: 7214963933 Enrollment ID: I20050714000225 |
Provider Name | Louise Ann Gombako Witherspoon |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1568562742 PECOS PAC ID: 4981638830 Enrollment ID: I20050922000179 |
Provider Name | David O Carney |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306894779 PECOS PAC ID: 3476570466 Enrollment ID: I20051028000579 |
Provider Name | Thomas Draper |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1144363987 PECOS PAC ID: 0547270001 Enrollment ID: I20060427000422 |
Provider Name | Frederick B Carlton |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1730110057 PECOS PAC ID: 5698863108 Enrollment ID: I20071116000524 |
Provider Name | Angie M Whitehurst |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285741884 PECOS PAC ID: 0345268413 Enrollment ID: I20080709000415 |
Provider Name | Jennifer A Ernst |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336333962 PECOS PAC ID: 1658443494 Enrollment ID: I20080710000447 |
Provider Name | Jeremy R Graham |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851599211 PECOS PAC ID: 9133287105 Enrollment ID: I20081020000346 |
Provider Name | Muhammad Husainy |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1639332273 PECOS PAC ID: 4789734351 Enrollment ID: I20090603000173 |
Provider Name | Phyllis C Fiveash |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689996282 PECOS PAC ID: 9830223825 Enrollment ID: I20100812000539 |
Provider Name | Michael L Peery |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1730295064 PECOS PAC ID: 9537356225 Enrollment ID: I20101207000814 |
Provider Name | Mark Edward Blackwood |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558456764 PECOS PAC ID: 3971664020 Enrollment ID: I20101229000222 |
Provider Name | Oneka Y Richardson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992943849 PECOS PAC ID: 0941489454 Enrollment ID: I20110128000600 |
Provider Name | David J Williams |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1285677310 PECOS PAC ID: 8729147095 Enrollment ID: I20120820000970 |
Provider Name | Omar Salam |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1376777995 PECOS PAC ID: 6305097338 Enrollment ID: I20121121000226 |
Provider Name | Hilary Ashton Glover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215367230 PECOS PAC ID: 3173754173 Enrollment ID: I20140314000585 |
Provider Name | Gerald R. Mclemore |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063709657 PECOS PAC ID: 7618192980 Enrollment ID: I20140627002138 |
Provider Name | Christian A Allison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790104297 PECOS PAC ID: 9436376068 Enrollment ID: I20140805002804 |
Provider Name | Japheth J Baker |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1881844090 PECOS PAC ID: 1557534872 Enrollment ID: I20140903000689 |
Provider Name | Dustin Nicolas Hill |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497011696 PECOS PAC ID: 1153634381 Enrollment ID: I20150717000484 |
Provider Name | Tiffany C General |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1982950911 PECOS PAC ID: 3072769793 Enrollment ID: I20151008000607 |
Provider Name | Tara Jones Spencer |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1720317795 PECOS PAC ID: 4981996774 Enrollment ID: I20160715000214 |
Provider Name | Ashleigh E Mcintosh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801247945 PECOS PAC ID: 2961790076 Enrollment ID: I20161005001301 |
Provider Name | Malorie Peyton Devaughn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174070684 PECOS PAC ID: 3375821457 Enrollment ID: I20161024002612 |
Provider Name | Matthew Huckaby |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1194144824 PECOS PAC ID: 0941508535 Enrollment ID: I20170503001160 |
Provider Name | Andrea L Huddleston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457879801 PECOS PAC ID: 6608142922 Enrollment ID: I20171031002694 |
Provider Name | Joseph Robert Harmon |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1265865885 PECOS PAC ID: 1759636202 Enrollment ID: I20180625000916 |
Provider Name | Lisa Munsch Bundy |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1790988194 PECOS PAC ID: 1355409616 Enrollment ID: I20180815000344 |
Provider Name | Renea Michelle Hopple |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326523507 PECOS PAC ID: 4688927999 Enrollment ID: I20181101002929 |
Provider Name | Martin P Gagliardi |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1649262650 PECOS PAC ID: 4587654165 Enrollment ID: I20190220003089 |
Provider Name | Michael D London |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1871664250 PECOS PAC ID: 2062407174 Enrollment ID: I20190516002077 |
Provider Name | Thomas Desnoyers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720462732 PECOS PAC ID: 2163736604 Enrollment ID: I20200313001876 |
Provider Name | Kelsie Follin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902370018 PECOS PAC ID: 2365856465 Enrollment ID: I20210202000250 |
Provider Name | Garrick J Slate |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386844702 PECOS PAC ID: 8325110174 Enrollment ID: I20210204000813 |
Provider Name | Darla J Morgan |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1225056583 PECOS PAC ID: 5294873022 Enrollment ID: I20210510000049 |
Provider Name | Sandra Murphy |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558317602 PECOS PAC ID: 7113181330 Enrollment ID: I20210617000673 |
Provider Name | Samuel A. Hampton |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548750540 PECOS PAC ID: 6800149337 Enrollment ID: I20210719001224 |
Provider Name | Tracy Nims |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1639183155 PECOS PAC ID: 6800866427 Enrollment ID: I20210819002264 |
Provider Name | Amanda N Berry |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1104359728 PECOS PAC ID: 5496144800 Enrollment ID: I20211104003183 |
Provider Name | Sarah Rebekah Christian |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225705072 PECOS PAC ID: 0941691711 Enrollment ID: I20220105001606 |
Provider Name | Steven Haywood |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992182224 PECOS PAC ID: 3779894977 Enrollment ID: I20220210000576 |
Provider Name | Darren S Ferree |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1457849796 PECOS PAC ID: 5597014605 Enrollment ID: I20230222000848 |
Provider Name | Windy Vess |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083187256 PECOS PAC ID: 1153786876 Enrollment ID: I20230503000577 |
Provider Name | Bennett Davis |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1316564651 PECOS PAC ID: 3971964222 Enrollment ID: I20230802002534 |
Provider Name | Courtney Kathleen Rich |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851918213 PECOS PAC ID: 3779945845 Enrollment ID: I20230822001348 |
Mrh Medical Group, Corinth Alcorn Dr. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 Alcorn Dr, Corinth, MS 38834 Phone: 663-396-4733 | |
Magnolia Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Alcorn Dr, Suite 109, Corinth, MS 38834 Phone: 662-286-1499 Fax: 662-286-9041 | |
Magnolia Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3714 Highway 72 W, Corinth, MS 38834 Phone: 662-293-1575 Fax: 662-293-1576 | |
Magnolia Infectious Disease Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Magnolia Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Norman Rd, Corinth, MS 38834 Phone: 662-293-1000 | |
Magnolia Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3704 Highway 72 W, Corinth, MS 38834 Phone: 662-665-8041 Fax: 662-665-8049 |