Organization
MAGDALENE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY ELAINE COLEMAN (OWNER)
(912) 267-9900
Entity
Organization
Contact information
Practice address
4420 ALTAMA AVE, STE. 40, BRUNSWICK, GA 31520-3020
(912) 267-9900
(912) 267-9901
Mailing address
4420 ALTAMA AVE., STE. 40, BRUNSWICK, GA 31520
(912) 267-9900
(912) 267-9901
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15005
GA
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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