Corinth Gastroenterology Clinic, Llc
LBN: Magnolia Gastroenterology Clinic, Llc
Corinth Gastroenterology Clinic, Llc is an health care organization with primary practice located at 3050 Corder Drive Magnolia Gastroenterology Clinic, Llc, Corinth MS 38834. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Magnolia Gastroenterology Clinic, Llc can be contacted via phone (662) 284-9902, or through Corder, Fredrick Alvin via phone (662) 284-9902.
Contact Information
Primary practice address
3050 Corder Drive Magnolia Gastroenterology Clinic, Llc
Corinth MS 38834
Phone: (662) 284-9902
Fax: (662) 284-9904
Website:
Authorized official contact:
Name: Corder, Fredrick Alvin Doctor of Medicine (MD)
Phone: (662) 284-9902
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1518941731 |
|---|---|
| LBN Legal business name | Magnolia Gastroenterology Clinic, Llc |
| DBA Doing business as | Corinth Gastroenterology Clinic, Llc |
| Authorized official | Corder, Fredrick Alvin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518941731 | NPPES |
| Mississippi | MEDICAID | 09016046 |
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