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

Magnolia Professional Associates

Organization Surgery Physician · NPI 1366463549

Magnolia Professional Associates is a Surgery Physician in Corinth, Mississippi. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

703 Alcorn Drive 109
Corinth, MS 38834-9323
Phone: (662) 286-2522
Fax: (662) 293-4288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1366463549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Coley — Executive Director Physician Servic · (662) 293-7678
NPI enumeratedJuly 22, 2006
Last updated in NPPESMay 14, 2021
Certification dateApril 9, 2021
Mailing addressP.O. Box 2040, Corinth, MS 38835-2040

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