Magnolia Woman's Clinic, P.a., NPI 1144491580
Obstetrics Physician in Jackson, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1144491580 |
| NPI Entity Type | Organization |
| Provider Name | Magnolia Woman's Clinic, P.a. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 970 Lakeland Dr, Suite 43, Jackson, MS, US |
| Provider Mailing Address | 970 Lakeland Dr, Suite 43, Jackson, MS, US, 392164635 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | M.D. Walter Ray Wolfe |
| Official Position | OWNER/PRESIDENT |
| Phone | 601-200-8201 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Obstetrics Physician |
| Classification | |
| Group | |
| License No. | 11096 |
| License State | MS |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 00131201 | MS | MEDICAID | 05 |
| 4224712 | AETNA | 01 | |
| 7430106 | MS | UNITED HEALTH CARE | 01 |
| 428940305A | MS | BLUE CROSS BLUE SHEILD | 01 |
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