| Organization Name: | MAGNOLIA ORTHOPAEDICS & SPORTS MEDICINE, P.A. |
| NPI Number: | 1063433233 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLIE GOOCH (OFFICE MANAGER) |
| Mailing Address: | 611 Alcorn Dr Suite 100 Corinth |
| State: | MS US |
| Postal Code: | 388349321 |
| Phone Number: | 6622866369 |
| Fax Number: | 6622862768 |
| NPI Enumeration Date: | 07/22/2006 |
| NPI Last Update Date: | 08/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207XX0005X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Orthopaedic Surgery |
| Taxonomy Specialization: | Sports Medicine |
| Taxonomy Definition: | An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |