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

Magnolia Specialty Clinic

Organization Internal Medicine Physician · NPI 1104464395

Magnolia Specialty Clinic is an Internal Medicine Physician in Corinth, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3

Practice location Address checks out

3704 Highway 72 W
Corinth, MS 38834-8556
Phone: (662) 665-8041
Fax: (662) 665-8049
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X
Internal Medicine Physician Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104464395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Nakagawa — Cfo · (662) 293-7660
NPI enumeratedDecember 18, 2019
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021
Mailing address401 Alcorn Dr Ste 2c, Corinth, MS 38834-9073

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