Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Magnolia Pediatric Clinic, Inc

Organization Pediatrics Physician · NPI 1396775797

Magnolia Pediatric Clinic, Inc provides Pediatrics Physician services in Magnolia, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

306 E McNeil
Magnolia, AR 71753-2927 Not confirmed with CMS for 14 years — call before visiting
Phone: (870) 234-5171
Fax: (870) 234-0507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence E2147 (AR)

Record details

NPI number1396775797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Cross — Owner/President · (870) 234-5171
NPI enumeratedJuly 3, 2006
Last updated in NPPESFebruary 20, 2012
Mailing address306 E McNeil, Magnolia, AR 71753-2927

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