Magnolia Medical Internal Medicine INC
NPI #1073471561 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1073471561
- Entity Type
- Organization
- Organization Name
- Magnolia Medical Internal Medicine INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 13, 2026
- Last Updated
- Jan 13, 2026
Practice Location
- Address
- 7591 FERN AVE STE 1401
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-5747
- Phone
- (318) 208-1804
Authorized Official
- Name
- DR. CODY TINGLE, MD
- Title
- OWNER, PHYSICIAN
- Phone
- (318) 208-1804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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