Organization
MAGNOLIA MEDICAL INTERNAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY TINGLE MD (OWNER, PHYSICIAN)
(318) 208-1804
Entity
Organization
Contact information
Practice address
7591 FERN AVE STE 1401, SHREVEPORT, LA 71105-5747
(318) 208-1804
(318) 203-5145
Mailing address
7591 FERN AVE STE 1401, SHREVEPORT, LA 71105-5747
(318) 208-1804
(318) 203-5145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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