| Magnolia Family Medicine, Llc | |
|
324 Plantation Hills Blvd Stonewall LA 71078 | |
| (318) 220-6879 | |
| Not Available |
| Full Name | Magnolia Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 324 Plantation Hills Blvd, Stonewall, Louisiana |
| Authorized Official Name and Position | Angela Taylor (OWNER) |
| Authorized Official Contact | 3182206879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Medicine, Llc 324 Plantation Hills Blvd Stonewall LA 71078 Ph: () - | Magnolia Family Medicine, Llc 324 Plantation Hills Blvd Stonewall LA 71078 Ph: (318) 220-6879 |
| NPI Number | 1861274102 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 10/20/2023 |
| Medicare PECOS PAC ID | 5395185599 |
|---|---|
| Medicare Enrollment ID | O20240506001161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861274102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela Christine Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942650429 PECOS PAC ID: 7517250020 Enrollment ID: I20170425000658 |
| Provider Name | Catie Arnold Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629620083 PECOS PAC ID: 2163753708 Enrollment ID: I20191011000627 |
Casse Community Health - Stonewall Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 149 Stonecreek Dr., Stonewall, LA 71078 Phone: 318-688-3350 Fax: 318-688-3655 | |
Council For Advancement Of Social Service And Education Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Stonecreek Dr., Stonewall, LA 71078 Phone: 318-688-3350 |