Frederick B Carlton Jr. (NPI# 1730110057, PAC ID# 5698863108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1730110057 |
| PAC ID by PECOS | 5698863108 |
| Professional Enrollment ID | I20071116000524 |
| Full Name | Frederick B Carlton Jr. |
| Organization Legal Name | MAGNOLIA PHYSICIAN SERVICES INC |
| Address |
601 Alcorn Dr Corinth MS 38834-9368 |
| Phone Number | 6622931000 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5193912889 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250009 | MAGNOLIA REGIONAL HEALTH CENTER |
| 250168 | UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA |
| Address | Phone | Organization |
|---|---|---|
| 601 Alcorn Dr, Corinth, MS 38834-9368 | 6622931000 | MAGNOLIA PHYSICIAN SERVICES INC |
| Organization Legal Name | MAGNOLIA PHYSICIAN SERVICES INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malorie Peyton Devaughn | Nurse Practitioner | Magnolia Physician Services Inc | 1001 S Harper Rd, Corinth, MS 38834-6646 |
| Angie M Whitehurst | Nurse Practitioner | Magnolia Physician Services Inc | 401 Alcorn Dr, Suite 2d, Corinth, MS 38834-9076 |
| Mark Alexander Lothenore | Nurse Practitioner | Magnolia Physician Services Inc | 611 Alcorn Dr, Corinth, MS 38834-9321 |
| Joseph Robert Harmon | Obstetrics/gynecology | Magnolia Physician Services Inc | 1001 S Harper Rd, Corinth, MS 38834-6646 |
| Felton Combest | Emergency Medicine | Magnolia Physician Services Inc | 611 Alcorn Dr, Corinth, MS 38834-9321 |
| Andrea L Huddleston | Nurse Practitioner | Magnolia Physician Services Inc | 1001 S Harper Rd, Corinth, MS 38834-6646 |
| Quinisha Logan | Obstetrics/gynecology | Magnolia Physician Services Inc | 401 Alcorn Dr, Suite 2d, Corinth, MS 38834-9076 |
| Muhammad Nassooh Husainy | Emergency Medicine | Magnolia Physician Services Inc | 611 Alcorn Dr, Corinth, MS 38834-9321 |
| Michael L Peery | Otolaryngology | Magnolia Physician Services Inc | 1001 S Harper Rd, Corinth, MS 38834-6646 |
| Tiffany C General | Obstetrics/gynecology | Magnolia Physician Services Inc | 1001 S Harper Rd, Corinth, MS 38834-6646 |
| Street Address |
601 ALCORN DR |
| City | CORINTH |
| State | MS |
| Zip | 38834-9368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Stewart | Physical Therapy | 1708 E Shiloh Rd, Corinth, MS 38834-3635 | |
| Jennifer H Garrett | Ophthalmology | Garrett Eye Clinic Pllc | 1804 E Shiloh Rd, Corinth, MS 38834-3637 |
| Meredith M Rhodes | Optometry | Garrett Eye Clinic Pllc | 1804 E Shiloh Rd, Corinth, MS 38834-3637 |
| William Nathanial Alexander | Chiropractic | 1500 N Harper Rd, Suite 2, Corinth, MS 38834-3700 | |
| Deborah B Moore | Nurse Practitioner | King Family Healthcare Inc | 2006 Robertson St, Corinth, MS 38834-3720 |
| Elizabeth B Wilbanks | Nurse Practitioner | Magnolia Internal Medicine | 2000 E Shiloh Rd, Corinth, MS 38834-3724 |
| Timothy L Noyes | Internal Medicine | Magnolia Internal Medicine | 2000 E Shiloh Rd, Corinth, MS 38834-3724 |
| Nixon D Dodd | Optometry | Dodd Eye Clinic P. C. | 618 N Fillmore St, Corinth, MS 38834-4825 |
| John D Dodd | Optometry | Dodd Eye Clinic P. C. | 618 N Fillmore St, Corinth, MS 38834-4825 |
| William P Dodd | Optometry | Dodd Eye Clinic P. C. | 618 N Fillmore St, Corinth, MS 38834-4825 |
| Find all physicians in zip 38834 | |||
| City | CORINTH |
| Zip Code | 38834 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CORINTH + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.