MAGNOLIA GROVE HEALTHCARE

NPI # 

Practice Address:

4333 15Th St Ste A

Gulfport, MS, 39501-2525

Practice Phone:

228-863-4000

Practice Fax:

228-863-4003

License Number:

12792

License State:

MS

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X

Updated by NPPES on 8/16/2007. You can view the original data set for NPI # 1710179395 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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MAGNOLIA GROVE HEALTHCARE's

CMS CPT® coding data

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MAGNOLIA GROVE HEALTHCARE's

CMS prescription data

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