MAGNOLIA WOMAN'S CLINIC P.A. NPI 1144491580

NPI Information

MAGNOLIA WOMAN'S CLINIC, P.A. is an obstetrics obstetrics gynecology in Jackson, MS. MAGNOLIA WOMAN'S CLINIC, P.A. NPI is 1144491580. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

970 LAKELAND DR
SUITE 43
JACKSON, MS
ZIP 39216-635
Phone: (601) 200-8201

The provider's authorized official is Walter Ray Wolfe .
The authorized official title is Owner/president and has the following contact phone number (601) 200-8201.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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