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Organization

MAGNOLIA SPRINGS SKIN & WELLNESS CENTER PC LLC

Active
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Organization

MAGNOLIA SPRINGS SKIN & WELLNESS CENTER PC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARI WOODY (PRACTICE ADMINISTRATOR)
(251) 263-4991
Entity
Organization

Contact information

Practice address
12440 MAGNOLIA SPRINGS HWY STE 200, MAGNOLIA SPRINGS, AL 36555-6422
(251) 263-4991
(888) 339-7886
Mailing address
12440 MAGNOLIA SPRINGS HWY STE 200, MAGNOLIA SPRINGS, AL 36555-6422
(251) 263-4991
(888) 339-7886

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
10/25/2018
Last updated
11/06/2018
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