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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAGNOLIA GROVE HEALTHCARE

Active Organization

MAGNOLIA GROVE HEALTHCARE is a Primary Care Clinic organization located in GULFPORT, Mississippi. NPI 1710179395 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · GULFPORT, MS

Registration Details

NPI Number
1710179395
Provider Type
Organization
NPI Issued
Aug 16, 2007 (19.003441373624 yrs)
Last Updated
Aug 16, 2007
License
12792 (MS)

Practice Information

Address
4333 15TH ST STE A
GULFPORT, MS, 395012525
Browse MS providers · Browse ZIP 39501
Phone
2288634000
Fax
2288634003
Primary Specialty
Primary Care Clinic
261QP2300X

Other Primary Care Clinic Organizations in GULFPORT, MS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.