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Contact Information

MAGNOLIA MEDICAL CLINIC, P.C.
1235 INDIAN TRAIL ROAD
SUITE 200
NORCROSS, GA30093
 Phone: 770-931-1333
 Fax: 770-931-3111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MAGNOLIA MEDICAL CLINIC PC · (Female)

NPI # 1184711517
Status Active
Credentials
Entity Individual
Enumeration date 10/06/2006
Last updated 05/28/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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