# MAGNOLIA FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558332114
- **Authorized official:** MRS. CHERISE D. TRIPLETT (OFFICE MANAGER)
- **Authorized official phone:** (276) 676-1133

## Contact information

- **Practice address:** 611 CAMPUS DR, SUITE 200, ABINGDON, VA 24210-9700
- **Practice address phone:** (276) 676-1133
- **Practice address fax:** (276) 676-1115
- **Mailing address:** 611 CAMPUS DR, SUITE 200, ABINGDON, VA 24210-9700
- **Mailing address phone:** (276) 676-1133
- **Mailing address fax:** (276) 676-1115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 207QA00000X | VA | Yes |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 08/22/2020
