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 |