MAGNOLIA SURGERY CENTER LLC NPI 1700685021

NPI Information

  • NPI: 1700685021
  • Provider Name: MAGNOLIA SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 7900 AIRWAYS BLVD STE 2
    SOUTHAVEN, MS
    ZIP 38671
  • Phone: (662) 404-8630

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NPI Details

MAGNOLIA SURGERY CENTER, LLC is an ambulatory surgical clinic center in Southaven, MS. MAGNOLIA SURGERY CENTER, LLC NPI is 1700685021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7900 AIRWAYS BLVD STE 2
SOUTHAVEN, MS
ZIP 38671-113
Phone: (662) 404-8630

The provider's authorized official is Jay Paul Mcdonald .
The authorized official title is Partner and has the following contact phone number (901) 497-9888.

The enumeration date for this NPI number is 3/10/2025 and was last updated on 3/10/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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