Magnolia Medical LLC

NPI #1851976054 in Sandrock, Alabama

Provider Information

NPI Number: 1851976054
Entity Type: Organization
Organization Name: Magnolia Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 10, 2021
Last Updated: Apr 9, 2022

Practice Location

Address: 2820 AL HIGHWAY 68 W
City: Sandrock
State: Alabama
ZIP Code: 35983-4200
Phone: (205) 386-4341

Authorized Official

Name: ENRICO D GASPAR, MD
Title: OWNER
Phone: (256) 840-8181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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