Magnolia Professional Associates

LBN: Magnolia Professional Associates
Magnolia Professional Associates is an health care organization with primary practice located at 703 Alcorn Drive 109, Corinth MS 38834-9323. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Magnolia Professional Associates can be contacted via phone (662) 286-2522, or through Coley, Jason via phone (662) 293-7678.

Contact Information

Primary practice address
703 Alcorn Drive 109 Corinth MS 38834-9323
Phone: (662) 286-2522
Fax: (662) 293-4288
Website:
Map and Directions
Authorized official contact:
Name: Coley, Jason
Phone: (662) 293-7678

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1366463549
LBN Legal business name Magnolia Professional Associates
DBA Doing business as
Authorized official Coley, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated May 14th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366463549 NPPES
Mississippi MEDICAID 05323894

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