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Organization
MAGNOLIA NETWORK, LLC
Active
Organization
MAGNOLIA NETWORK, LLC
Active
Other names
Dillon Physical Tehrapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MONTES (PHYSICAL THERAPIST)
(843) 627-0121
Entity
Organization
Contact information
Practice address
517 RADFORD BOULEVARD, SUITE A, DILLON, SC 29536-2469
(843) 627-0121
(843) 627-0122
Mailing address
517 RADFORD BOULEVARD, SUITE A, DILLON, SC 29536-2469
(843) 627-0121
(843) 627-0122
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3232
SC
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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