NPI | 1114549367 |
---|---|
Doing Business As | MAGNOLIA MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | TONIA CELENA HUNTER Billing Manger 478-240-9650 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103T00000X Psychologist | |
207R00000X Internal Medicine | |
208600000X Surgery | |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2020-05-11 |
Last Update Date | 2020-05-11 |