MAGNOLIA LANE PLASTIC SURGERY, LLC

AUGUSTA, GA
NPI1659139590
Entity TypeOrganization
Authorized ContactMANUEL MEDINA
Owner
787-240-9004
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
Enumeration Date2024-03-06
Last Update Date2024-03-06
Business Address
MAGNOLIA LANE PLASTIC SURGERY, LLC
3651 WHEELER RD
AUGUSTA, GA 30909-6521
Phone number: 706-651-3232
Mailing Address
MAGNOLIA LANE PLASTIC SURGERY, LLC
607 RONALD REAGAN DR UNIT 724
EVANS, GA 30809-7729
Phone number:
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