Magnolia Medical

NPI #1649445271 in Calhoun, Georgia

Provider Information

NPI Number
1649445271
Entity Type
Organization
Organization Name
Magnolia Medical
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Apr 24, 2008
Last Updated
Apr 24, 2008

Practice Location

Address
185 PROFESSIONAL CT SE STE C
State
Georgia
ZIP Code
30701-7030
Phone
(706) 629-8622

Authorized Official

Name
DANE KENDALL GREGORY, MD
Title
PHYSICIAN
Phone
(706) 629-8622

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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