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Contact Information

MAGNOLIA EAR NOSE & THROAT
401 ALCORN DR
SUITE 2 D
CORINTH, MS38834
 Phone: 662-293-1565
 Fax: 662-293-4204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MAGNOLIA EAR NOSE THROAT · (Female)

NPI Number 1881132124
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2017
Last updated 07/18/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 07633259
  • MS Other 583312 MS MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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