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Organization
MAGNOLIA FAMILY PRACTICE LLC
Active
Organization
MAGNOLIA FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RUSSELL FLEMING JR. MD (OWNER)
(803) 905-2273
Entity
Organization
Contact information
Practice address
1229 ALICE DR, SUMTER, SC 29150-1970
(803) 905-2273
Mailing address
1229 ALICE DR, SUMTER, SC 29150-1970
(803) 905-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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