Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Clinic

Organization Clinic/Center · NPI 1093038234

Magnolia Clinic is a Clinic/Center in Meridian, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010

Practice location Address checks out

4555 Highland Park Dr
Meridian, MS 39307-5429
Phone: (601) 481-1135
Fax: (601) 581-7676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 31 136 (MS)

Record details

NPI number1093038234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Carlisle — Director · (601) 581-7836
Other names East Ms State Hospital
NPI enumeratedMarch 2, 2010
Last updated in NPPESMarch 2, 2010
Mailing addressP O Box 4128, West Station, 4555 Highland Park Drive, Meridian, MS 39304-4128

Other providers in Meridian