institution
Magnolia Grove Healthcare
Primary Care Clinic/Center in Gulfport, Mississippi
NPI 1710179395

Magnolia Grove Healthcare is a Primary Care Clinic/Center based in Gulfport, MS and is specialized in Primary Care. Magnolia Grove Healthcare practices in Gulfport, MS. The NPI Number for Magnolia Grove Healthcare is 1710179395 and holds a License No. 12792 (Mississippi).

The current practice location address for Magnolia Grove Healthcare is 4333 15Th St Ste A, Gulfport, MS and can be reached out via phone at 228-863-4000 and via fax at 228-863-4003. You can also correspond with Magnolia Grove Healthcare through the mailing address at PO BOX 1040, GULFPORT, MS - 39502-1040 (mailing address contact number: 228-863-4000).

Location: 4333 15Th St Ste A, Gulfport, MS, 39502-1040
institution
Provider Profile Details
NPI Number
1710179395
Provider Name
Magnolia Grove Healthcare
Credential
Provider Entity Type
Organization
Address
4333 15Th St Ste A, Gulfport, MS, 39502-1040
Phone Number
228-863-4000
Fax Number
228-863-4003
Provider Enumeration Date
08/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4333 15Th St Ste A
City
State
Zip
39501-2525
Phone Number
228-863-4000
Fax Number
228-863-4003
person
Provider Business Mailing Address Details
Address
4333 15Th St Ste A
City
State
Zip
39501-2525
Phone Number
228-863-4000
Fax Number
228-863-4003
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
12792 (Mississippi)
Definition
Definition to come...
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