Psp Medical Clinic
May also be knows as Magnolia Medical Clinics
Primary Care Clinic/Center in Flowood, MS(View on Map)
Legal Business Name
Psp Medical Clinic
Also Known As
Magnolia Medical Clinics
NPI Number
1245502723
NPI Type
Organization
Enumeration Date
01/31/2012
Specialties
(Taxonomies)Code
261QP2300X
207R00000X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 607
2629 COURTHOUSE CIR
City
Canton
Flowood
State
MS
MS
Postal Code
39046
39232-9521
Country
US
US
Telephone Number
(601) 859-9888
(601) 420-4300
Authorized Official
Name
Parvesh Goel
Title or Position
MD
Telephone Number
(601) 859-9888
Identifiers
Identifier
25D2047948
Identifier State
MS
Identifier Issuer
CLIA
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/06/2021
Provider Address
Other Primary Care Clinics/Centers in Flowood, Mississippi:
Hattiesburg Clinic, Pa
May also be known as Flowood Primary Care
Flowood, MSSpecialty: Primary Care Clinic/Center (Primary)