Magnolia Surgery, PC

NPI #1982959615 in Kathleen, Georgia

Provider Information

NPI Number: 1982959615
Entity Type: Organization
Organization Name: Magnolia Surgery, PC
Primary Specialty: Surgery
Enumeration Date: Jul 18, 2012
Last Updated: Jan 31, 2013

Practice Location

Address: 1118 HIGHWAY 96 WEST
Address 2: SUITE 1
City: Kathleen
State: Georgia
ZIP Code: 31047
Phone: (478) 287-6574

Authorized Official

Name: DR. KERRY C. RODGERS, M.D.
Title: PHYSICIAN/OWNER
Phone: (478) 287-6574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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