# MAGNOLIA COMFORT MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Comfort Chiropractic LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154940906
- **Authorized official:** KEVIN T LE DC (OWNER)
- **Authorized official phone:** (470) 545-0275

## Contact information

- **Practice address:** 6050 PEACHTREE PARKWAY, STE 420, PEACHTREE CORNERS, GA 30092-3336
- **Practice address phone:** (470) 545-0275
- **Practice address fax:** (470) 246-5961
- **Mailing address:** 6050 PEACHTREE PARKWAY, STE 420, PEACHTREE CORNERS, GA 30092-3336
- **Mailing address phone:** (470) 545-0275
- **Mailing address fax:** (470) 246-5961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2020
- **Last updated:** 07/11/2025