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

Magnolia Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1699787515

Magnolia Family Medicine, PLLC is a Family Medicine Physician in McComb, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 Marion Ave Ste 399
McComb, MS 39648-2709
Phone: (601) 684-8800
Fax: (601) 914-2937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16277 (MS)

Record details

NPI number1699787515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Montgomery — Owner · (601) 684-8800
NPI enumeratedAugust 12, 2006
Last updated in NPPESMarch 7, 2023
Mailing address1074 Brandon Dr, McComb, MS 39648-6130

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