NPI 1053099077 · live from the CMS NPI Registry
Angel Wings Community Healthcare Center LLC
Family Medicine in Magnolia, MS. National Provider Identifier 1053099077, active.
NPI record
| NPI | 1053099077 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 215 Magnolia St, Magnolia, MS 39652 |
| Practice phone | 601-869-0299 |
| Enumerated | July 10, 2023 |
| Last updated | July 10, 2023 |
| Authorized official | Latoya Cameron, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.