| NPI | 1770342354 |
|---|---|
| Doing Business As | MAGNOLIA HEALTH PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | CLAYTON MOORE Owner 828-220-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-10-14 |