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

Magnolia Surgery Center, LLC

Organization Interventional Pain Medicine Physician · NPI 1700685021

Magnolia Surgery Center, LLC is an Interventional Pain Medicine Physician in Southaven, Mississippi. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7900 Airways Blvd Ste 2
Southaven, MS 38671-4113
Phone: (662) 404-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1700685021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay McDonald — Partner · (901) 497-9888
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address120 Stone Creek Blvd Ste 200, Flowood, MS 39232-8210

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