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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

NPI # 1881132124
LBN Legal business name MAGNOLIA EAR NOSE & THROAT
Authorized official RONNY HUMES - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/07/2017
Last updated 07/18/2018 - About 8 years ago
Identifiers
MS Medicaid 07633259
MS Other 583312 MS MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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