| NPI | 1255563870 |
|---|---|
| Doing Business As | MAGNOLIA CLINIC |
| Entity Type | Organization |
| Authorized Contact | EMMANUEL O QUAYE Proprietor 843-621-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2009-08-15 |