Magnolia Integrated Health, Llc | |
2227 Idlewood Rd Suite 2 Tucker GA 30084-4827 | |
(678) 922-2834 | |
(678) 922-2270 |
Full Name | Magnolia Integrated Health, Llc |
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Speciality | Counselor - Professional |
Location | 2227 Idlewood Rd, Tucker, Georgia |
Authorized Official Name and Position | Mira Iheme (PRESIDENT) |
Authorized Official Contact | 6789222834 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Magnolia Integrated Health, Llc 2227 Idlewood Rd Suite 2 Tucker GA 30084-4827 Ph: (678) 922-2834 | Magnolia Integrated Health, Llc 2227 Idlewood Rd Suite 2 Tucker GA 30084-4827 Ph: (678) 922-2834 |
NPI Number | 1558731604 |
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Provider Enumeration Date | 10/01/2015 |
Last Update Date | 10/01/2015 |
Identifier | Type | State | Issuer |
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1558731604 | NPI | - | NPPES |
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