| 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 |