Organization
MAGNOLIA MEDICAL, PLLC
Active
Other names
Magnolia Medical
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY CARROLL NURSE PRACTITIONER (CEO)
(501) 691-5850
Entity
Organization
Contact information
Practice address
210 DEER RUN CV, HEBER SPRINGS, AR 72543-9077
(501) 691-5850
Mailing address
230 CEDAR PL, HEBER SPRINGS, AR 72543-7910
(501) 691-5850
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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