Magnolia Surgical Clinic

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MAGNOLIA SURGICAL CLINIC

Practice address

703 Alcorn Dr
Suite 102
Corinth, MS 38834-9302

Phone

(662) 286-2522

Fax

(662) 293-4288

NPI assigned

Feb 7, 2017

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

MAGNOLIA REGIONAL HEALTH CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronny D Humes

Title

Ceo

Phone

(662) 293-7664

Specialties & licenses 1

Addresses

Part of

Magnolia Regionl Health

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1629516968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ALCORN DR",
            "address_2": "SUITE 102",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349302",
            "telephone_number": "662-286-2522",
            "fax_number": "662-293-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ALCORN DR",
            "address_2": "SUITE 102",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349302",
            "telephone_number": "662-286-2522",
            "fax_number": "662-293-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SURGICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "HUMES",
        "authorized_official_first_name": "RONNY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-293-7664"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Regional Health Center
• Magnolia Regional Health Center
• Magnolia Regional Health Center (MRHC - Emergency Medicine Pro Fee)
• Magnolia Specialty Clinic
• Magnolia Specialty Clinic
• Magnolia Surgical Group
• Magnolia Urgent Care
• Magnolia Women's Center
• Magnolia Wound & Hyperbaric Clinic
• Jessica Lynn Malone, MSW

• Surgery Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.