| Magnolia Lane Ga Partners Llc | |
|
101 Old Sandy Creek Rd Ste B Fayetteville GA 30214-4546 | |
| (770) 733-0939 | |
| Not Available |
| Full Name | Magnolia Lane Ga Partners Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Old Sandy Creek Rd Ste B, Fayetteville, Georgia |
| Authorized Official Name and Position | Jacqueline Delash (OWNER) |
| Authorized Official Contact | 7707330939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Lane Ga Partners Llc 101 Old Sandy Creek Rd Ste B Fayetteville GA 30214-4546 Ph: (770) 733-0939 | Magnolia Lane Ga Partners Llc 101 Old Sandy Creek Rd Ste B Fayetteville GA 30214-4546 Ph: (770) 733-0939 |
| NPI Number | 1194542928 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194542928 | NPI | - | NPPES |
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