NPI | 1144994286 |
---|---|
Doing Business As | MAGNOLIA PLACE - OBSTETRICS, GYNECOLYGY & WELLNESS |
Entity Type | Organization |
Authorized Contact | MARIE STORMI ROWE Owner 252-414-6817 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2021-08-03 |
Last Update Date | 2021-08-03 |