| Magnolia Healthcare & Aesthetics, Pllc | |
|
34 Oleander Dr Ste 107 Clayton NC 27527-4599 | |
| (919) 227-6434 | |
| Not Available |
| Full Name | Magnolia Healthcare & Aesthetics, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 34 Oleander Dr Ste 107, Clayton, North Carolina |
| Authorized Official Name and Position | Tonya Annette Pounds (OWNER) |
| Authorized Official Contact | 9192276434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Healthcare & Aesthetics, Pllc 34 Oleander Dr Ste 107 Clayton NC 27527-4599 Ph: (919) 227-6434 | Magnolia Healthcare & Aesthetics, Pllc 34 Oleander Dr Ste 107 Clayton NC 27527-4599 Ph: (919) 227-6434 |
| NPI Number | 1609598424 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 6800267816 |
|---|---|
| Medicare Enrollment ID | O20230130000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609598424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tonya Pounds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154846608 PECOS PAC ID: 5890061501 Enrollment ID: I20171025001299 |
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