| Magnolia Primary Care Llc | |
|
807 S Laurel St Ste B Springfield GA 31329-9273 | |
| (912) 812-1005 | |
| Not Available |
| Full Name | Magnolia Primary Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 807 S Laurel St Ste B, Springfield, Georgia |
| Authorized Official Name and Position | Lauren Oglesby (PHYSICIAN) |
| Authorized Official Contact | 9126555559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Primary Care Llc Po Box 180 Springfield GA 31329-0180 Ph: () - | Magnolia Primary Care Llc 807 S Laurel St Ste B Springfield GA 31329-9273 Ph: (912) 812-1005 |
| NPI Number | 1093537193 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093537193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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