| NPI | 1851565170 |
|---|---|
| Doing Business As | MAGNOLIA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE Vice President, Corporate Secretary 629-253-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2024-03-11 |