Magnolia Blooms Pch,llc

NPI #1750536819 in Monroe, Georgia

Provider Information

NPI Number
1750536819
Entity Type
Organization
Organization Name
Magnolia Blooms Pch,llc
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Nov 17, 2008
Last Updated
Nov 17, 2008

Practice Location

Address
1250 NICHOLSVILLE RD NW
City
Monroe
State
Georgia
ZIP Code
30656-3469
Phone
(678) 458-2011

Authorized Official

Name
MRS. SANDY WAGES BALLARD
Title
OWNER
Phone
(678) 458-2011

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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