Magnolia Place
NPI #1215064431 in Mocksville, North Carolina
Provider Information
- NPI Number
- 1215064431
- Entity Type
- Organization
- Organization Name
- Magnolia Place
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 270 DUKE ST
- City
- Mocksville
- State
- North Carolina
- ZIP Code
- 27028-2504
- Phone
- (336) 751-2214
Authorized Official
- Name
- MRS. SUSAN LANE MORRIS
- Title
- ADMINISTRATOR
- Phone
- (336) 751-2214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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