Organization
MAGNOLIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER ASTWANI MD (MEDICAL DIRECTOR)
(229) 446-9477
Entity
Organization
Contact information
Practice address
701 14TH AVENUE, ALBANY, GA 31701
(229) 446-9477
(229) 446-9422
Mailing address
701 14TH AVENUE, ALBANY, GA 31701
(229) 446-9477
(229) 446-9422
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000310630
—
GA
Enumeration date
11/21/2006
Last updated
08/22/2020
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