Organization
MAGNOLIA PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS ANGEL LAGTAPON GUEVARA MD (CHILD AND ADOLESCENT PSYCHIATRIST)
(843) 256-3326
Entity
Organization
Contact information
Practice address
1001 ANNA KNAPP EXT, MT PLEASANT, SC 29464-5412
(843) 256-3326
Mailing address
1001 ANNA KNAPP EXT, MT PLEASANT, SC 29464-5412
(843) 256-3326
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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