MAG MEDICAL & MEDISPA LLC NPI 1780449389

NPI Information

NPI: 1780449389
Provider Name: MAG MEDICAL & MEDISPA, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 25D2300636

Address:
307 UNION ST
RIPLEY, MS
ZIP 38663
Phone: (662) 587-3405
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MAG MEDICAL & MEDISPA, LLC is a primary care clinic center in Ripley, MS. MAG MEDICAL & MEDISPA, LLC NPI is 1780449389. The provider is registered as an organization entity type.

The provider's business location address is:

307 UNION ST
RIPLEY, MS
ZIP 38663-718
Phone: (662) 587-3405
Fax: (662) 507-2930

The provider's authorized official is Lauren Kirkman .
The authorized official title is Owner, Fnp and has the following contact phone number (662) 587-3405.

The CLIA number assigned to this NPI record is 25D2300636 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2024 and was last updated on 2/14/2024.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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