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Contact Information

MAGNOLIA MEDICAL
185 PROFESSIONAL CT SE STE C
CALHOUN, GA30701-7030
 Phone: 706-629-8622
 Fax: 706-629-8674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for MAGNOLIA MEDICAL

NPI # 1649445271
LBN Legal business name MAGNOLIA MEDICAL
Authorized official DANE GREGORY - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2008
Last updated 04/24/2008 - About 18 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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