Magnolia Family Medicine, Pllc in Mccomb - Family Medicine
Magnolia Family Medicine, Pllc - NPI 1699787515
Magnolia Family Medicine, Pllc is a Family Medicine in Mccomb, Mississippi. Magnolia Family Medicine, Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Magnolia Family Medicine, Pllc is 1699787515. The last update date is 2023-03-07.
Magnolia Family Medicine, Pllc's current location address is 415 Marion Ave, Mccomb, Mississippi. You can contact this provider via phone number 6016848800 and fax number 6019142937. The mailing address for Magnolia Family Medicine, Pllc is 415 Marion Ave, Mccomb, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Magnolia Family Medicine, Pllc |
|---|---|
| Address | 415 Marion Ave, Mccomb, Mississippi |
| Phone Number | 6016848800 |
| Fax Number | 6019142937 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Montgomery Lee Larry |
| Credentials | M.D. |
| Telephone Number | 6016848800 |
NPI Number Detail
| NPI Number | 1699787515 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 415 Marion Ave |
|---|---|
| City | Mccomb |
| State | Mississippi (MS) |
| Post Code | 396482709 |
| Phone Number | 6016848800 |
| Fax Number | 6019142937 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 16277 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120513 | MS | -- | |
| 16277 | MS | STATE MEDICAL LICENSE |
Post Comment/ Review Below
What is the Magnolia Family Medicine, Pllc's unique identification number?
The Magnolia Family Medicine, Pllc has been assigned the NPI (National Provider Identifier) Number 1699787515 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Magnolia Family Medicine, Pllc's facilities are situated?
The facilities of Magnolia Family Medicine, Pllc are physically located at the following address: 415 Marion Ave, Mccomb, MS, 396482709.
What is Magnolia Family Medicine, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Magnolia Family Medicine, Pllc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699787515 to Magnolia Family Medicine, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1699787515 to Magnolia Family Medicine, Pllc on 2006-08-12.
As of what date was the information regarding Magnolia Family Medicine, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Magnolia Family Medicine, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.