Magnolia Family Medicine Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAGNOLIA FAMILY MEDICINE CLINIC

Practice address

703 Alcorn Dr
Suite 109
Corinth, MS 38834-9302

Phone

(662) 293-1000

Fax

(662) 287-2823

NPI assigned

Apr 1, 2008

Last updated

Apr 1, 2008By 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

Don Lloyd

Title

Cpo

Phone

(662) 287-6913

Specialties & licenses 1

Addresses

Part of

Magnolia Regionl Health

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1962674812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ALCORN DR",
            "address_2": "SUITE 109",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349302",
            "telephone_number": "662-293-1000",
            "fax_number": "662-287-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ALCORN DR",
            "address_2": "SUITE 109",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349302",
            "telephone_number": "662-293-1000",
            "fax_number": "662-287-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY MEDICINE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CPO",
        "authorized_official_telephone_number": "662-287-6913"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Ear Nose & Throat
• Magnolia Endoscopy Center, LLC
• Magnolia ER Providers
• Magnolia Family Clinic
• Magnolia Family Medical Practice
• Magnolia Gastroenterology Clinic, LLC
• Magnolia General and Vascular Surgery Clinic
• Magnolia Hospitalist Group
• Magnolia Imaging Associates, PLLC
• Magnolia Internal Medicine

• Family Medicine Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.