| Magnolia Health Clinic | |
|
3350 Northlake Pkwy Ne Suite B Atlanta GA 30345-2204 | |
| (770) 724-8093 | |
| Not Available |
| Full Name | Magnolia Health Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3350 Northlake Pkwy Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Mira Iheme (PRESIDENT) |
| Authorized Official Contact | 7707248093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Health Clinic 3350 Northlake Pkwy Ne Suite B Atlanta GA 30345-2204 Ph: (770) 724-8093 | Magnolia Health Clinic 3350 Northlake Pkwy Ne Suite B Atlanta GA 30345-2204 Ph: (770) 724-8093 |
| NPI Number | 1487047049 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 03/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487047049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 00222568 (Georgia) | Primary |
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