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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.

Location: 4333 15Th St Ste A, Gulfport, MS, 39502-1040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Gulfport
State
Mississippi
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
Gulfport
State
Mississippi
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
261QP2300X
License No.
12792 (Mississippi)
Definition
Definition to come...
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