Magnolia Medical LLC
NPI #1124482617 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1124482617
- Entity Type
- Organization
- Organization Name
- Magnolia Medical LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Apr 11, 2016
- Last Updated
- Apr 11, 2016
Practice Location
- Address
- 1950 E 70TH ST
- Address 2
- SUITE H
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-5345
- Phone
- (318) 219-5219
Authorized Official
- Name
- TINA R ALEXANDER
- Title
- GENERAL MANAGER
- Phone
- (601) 334-2599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Prosthetic/Orthotic Supplier |
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