Magnolia Primary Care | |
202 Alcorn Dr Corinth MS 38834-9701 | |
(662) 287-4481 | |
(662) 287-4368 |
Full Name | Magnolia Primary Care |
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Speciality | General Practice |
Location | 202 Alcorn Dr, Corinth, Mississippi |
Authorized Official Name and Position | Ronny D. Humes (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6622937664 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Magnolia Primary Care 401 Alcorn Dr Ste 2c Corinth MS 38834-9073 Ph: (662) 293-7266 | Magnolia Primary Care 202 Alcorn Dr Corinth MS 38834-9701 Ph: (662) 287-4481 |
NPI Number | 1437685278 |
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Provider Enumeration Date | 05/11/2017 |
Last Update Date | 01/23/2019 |
Medicare PECOS PAC ID | 2163783622 |
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Medicare Enrollment ID | O20180223001279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437685278 | NPI | - | NPPES |
05252561 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Alphonsus L Flannery |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104899129 PECOS PAC ID: 5294835815 Enrollment ID: I20070712000063 |
Provider Name | William G Jackson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407852072 PECOS PAC ID: 1850580796 Enrollment ID: I20110112000143 |
Provider Name | Emily Dianne Feltman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144951153 PECOS PAC ID: 2264817329 Enrollment ID: I20220910000683 |
Provider Name | Jennifer Elaine Pickens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053884106 PECOS PAC ID: 4486003175 Enrollment ID: I20231206002538 |
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 Physician Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-7618 | |
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 |