HomeNPI Verification

NPI Verification

National Provider Identifier: 1104464395

Magnolia Specialty Clinic

Organization

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (3)

Internal Medicine

Code: 207R00000X

Nurse Practitioner

Code: 363L00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

3704 HIGHWAY 72 W

CORINTH, MS 388348556

Phone: 662-665-8041

NPI Enumeration Date

December 18, 2019

NPI Number

1104464395

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry