MAGNOLIA FAMILY MEDICAL CLINIC NPI 1023228632

NPI Information

MAGNOLIA FAMILY MEDICAL CLINIC is a family medicine in Greenville, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAGNOLIA FAMILY MEDICAL CLINIC NPI is 1023228632. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1660 S COLORADO ST
GREENVILLE, MS
ZIP 38703-216
Phone: (662) 332-2077
Fax: (662) 332-0790

The provider's authorized official is John B Kayoma .
The authorized official title is Owner and has the following contact phone number (662) 332-2077.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 12/31/2007.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.