PSP MEDICAL CLINIC LLC is a rural health clinic center in Canton, MS. PSP MEDICAL CLINIC LLC NPI is 1225320708. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Medical Clinics.
The provider's business location address is:
1171 HART ST
CANTON, MS
ZIP 39046-805
Phone: (601) 859-9888
Fax: (601) 859-9004
The provider's authorized official is Parvesh K. Goel .
The authorized official title is Md and has the following contact phone number (662) 746-3555.
The CLIA number assigned to this NPI record is 25D2014536 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/3/2011 and was last updated on 2/6/2024.