institution
Magnolia Woman's Clinic, P.a.
Obstetrics Physician in Jackson, Mississippi
NPI 1144491580

Magnolia Woman's Clinic, P.a. is a Obstetrics Physician based in Jackson, MS and is specialized in Obstetrics. Magnolia Woman's Clinic, P.a. practices in Jackson, MS. The NPI Number for Magnolia Woman's Clinic, P.a. is 1144491580 and holds a License No. 11096 (Mississippi).

The current practice location address for Magnolia Woman's Clinic, P.a. is 970 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-200-8201.

Location: 970 Lakeland Dr, Jackson, MS, 39216-4635
institution
Provider Profile Details
NPI Number
1144491580
Provider Name
Magnolia Woman's Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
970 Lakeland Dr, Jackson, MS, 39216-4635
Phone Number
601-200-8201
Fax Number
Provider Enumeration Date
03/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00131201 05 MS
4224712 01 AETNA
7430106 01 MS UNITED HEALTH CARE
428940305A 01 MS BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
970 Lakeland Dr
City
State
Zip
39216-4635
Phone Number
601-200-8201
Fax Number
person
Provider Business Mailing Address Details
Address
970 Lakeland Dr
City
State
Zip
39216-4635
Phone Number
601-200-8201
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
11096 (Mississippi)
Definition
Definition to come...
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