Magnolia Woman'S Clinic, P.A.

LBN: Magnolia Woman'S Clinic, P.A.
Magnolia Woman'S Clinic, P.A. is an health care organization with primary practice located at 970 Lakeland Dr Suite 43, Jackson MS 39216-4635. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as the primary health care specialty. Magnolia Woman'S Clinic, P.A. can be contacted via phone (601) 200-8201, or through Wolfe, Walter Ray via phone (601) 200-8201.

Contact Information

Primary practice address
970 Lakeland Dr Suite 43 Jackson MS 39216-4635
Phone: (601) 200-8201
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wolfe, Walter Ray Doctor of Medicine (MD)
Phone: (601) 200-8201

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 11096 Mississippi

Profile Details

NPI number 1144491580
LBN Legal business name Magnolia Woman'S Clinic, P.A.
DBA Doing business as
Authorized official Wolfe, Walter Ray Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2008
Last updated Mar 13th, 2008 - about 16 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 1144491580 NPPES
Mississippi MEDICAID 00131201
Mississippi Other 4224712
Mississippi Other 7430106
Mississippi Other 428940305A

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