| Magnolia Wound & Hyperbaric Clinic | |
|
611 Alcorn Dr Corinth MS 38834-9321 | |
| (662) 293-1000 | |
| Not Available |
| Full Name | Magnolia Wound & Hyperbaric Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 611 Alcorn Dr, Corinth, Mississippi |
| Authorized Official Name and Position | Howard Nelson (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 6622937618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Wound & Hyperbaric Clinic 401 Alcorn Dr Ste 2c Corinth MS 38834-9073 Ph: (662) 293-7618 | Magnolia Wound & Hyperbaric Clinic 611 Alcorn Dr Corinth MS 38834-9321 Ph: (662) 293-1000 |
| NPI Number | 1588102826 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 5890071393 |
|---|---|
| Medicare Enrollment ID | O20170418001791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588102826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amy B Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184755308 PECOS PAC ID: 7618866856 Enrollment ID: I20040315000332 |
| Provider Name | James C Gilmore |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1477560050 PECOS PAC ID: 8820902604 Enrollment ID: I20090305000473 |
| Provider Name | Japheth J Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881844090 PECOS PAC ID: 1557534872 Enrollment ID: I20140903000689 |
| Provider Name | Andy Holley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700020005 PECOS PAC ID: 9234360488 Enrollment ID: I20140923000693 |
| Provider Name | Margaret H Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982970166 PECOS PAC ID: 1355571183 Enrollment ID: I20150916000971 |
| Provider Name | Mary Pounders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356712525 PECOS PAC ID: 3274810122 Enrollment ID: I20170503000997 |
| Provider Name | Benjamin Daniel Pettigrew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255787966 PECOS PAC ID: 8628450376 Enrollment ID: I20220728000601 |
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 |