OrganizationActive
Magnolia Woman'S Clinic, P.A.
NPI 1144491580 · Obstetrics Physician · Jackson, MS
Provider details
- NPI number
- 1144491580
- Entity type
- Organization
- Primary specialty
- Obstetrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Walter Wolfe, Owner/President(601) 200-8201
- License
- 11096 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
970 Lakeland Dr
Suite 43
Jackson, MS 39216-4635
Phone: (601) 200-8201
Approximate (ZIP-level) locationGet directions
Mailing address
970 Lakeland Dr
Jackson, MS 39216-4635
Registry dates
- Enumerated
- 2008-03-13
- Last updated
- 2008-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.