Magnolia Woman's Clinic, P.a., NPI 1144491580
Obstetrics Physician in Jackson, MS, US

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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
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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

207VX0000X

Taxonomy Name Obstetrics Physician
Classification

Obstetrics & Gynecology

Group

Allopathic & Osteopathic Physicians

License No. 11096
License State MS
Description Definition to come...

Business Address

Magnolia Woman's Clinic, P.a.
970 Lakeland Dr
Suite 43

Jackson, MS, US

Phone: 601-200-8201

Mailing Address

Magnolia Woman's Clinic, P.a.
970 Lakeland Dr
Suite 43
Jackson, MS, US
ZIP 392164635
Phone: 601-200-8201

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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