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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, P.C.

NPI # 1184711517
LBN Legal business name MAGNOLIA MEDICAL CLINIC, P.C.
Authorized official SURESH SHAH - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2006
Last updated 05/28/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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