Magnolia Family Medical Clinic
Magnolia Family Medical Clinic provides Family Medicine Physician services in Greenville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
1660 S Colorado StGreenville, MS 38703-7216 Not confirmed with CMS for 18 years — call before visiting
Phone: (662) 332-2077
Fax: (662) 332-0790
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 17503 (MS) |
|---|
Record details
| NPI number | 1023228632 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Kayoma — Owner · (662) 332-2077 |
| NPI enumerated | May 23, 2007 |
| Last updated in NPPES | December 31, 2007 |
| Mailing address | 1660 S Colorado St, Greenville, MS 38703-7216 |
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