| NPI | 1093135568 |
|---|---|
| Doing Business As | MAGNOLIAS BREAST HEALTH BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | CAROLINE THOMPSON THOMAS Director, Volunteer Services 706-774-2208 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |