| NPI | 1679387286 |
|---|---|
| Doing Business As | MAGNOLIA PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | VICTORIA LAUREN CARROLL Psychiatric Mental Health Np, Owner 901-490-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |