Magnolia Specialty Clinic

LBN: Magnolia Specialty Clinic
Magnolia Specialty Clinic is an health care organization with primary practice located at 3704 Highway 72 W , Corinth MS 38834-8556. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty. Magnolia Specialty Clinic can be contacted via phone (662) 665-8041, or through Nakagawa, Marc via phone (662) 293-7660.

Contact Information

Primary practice address
3704 Highway 72 W Corinth MS 38834-8556
Phone: (662) 665-8041
Fax: (662) 665-8049
Website:
Map and Directions
Authorized official contact:
Name: Nakagawa, Marc
Phone: (662) 293-7660

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1104464395
LBN Legal business name Magnolia Specialty Clinic
DBA Doing business as
Authorized official Nakagawa, Marc
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2019
Last updated May 14th, 2021 - about 5 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.

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