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

Magnolia Orthopaedics & Sports Medicine, PA

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1063433233

Magnolia Orthopaedics & Sports Medicine, PA is a Sports Medicine (Orthopaedic Surgery) Physician in Corinth, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 Alcorn Dr Ste 100
Corinth, MS 38834-9321
Phone: (662) 286-6369
Fax: (662) 286-2768
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1063433233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlie Gooch — Office Manager · (662) 286-6369
NPI enumeratedJuly 22, 2006
Last updated in NPPESAugust 15, 2013
Mailing address611 Alcorn Dr, Suite 100, Corinth, MS 38834-9321

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