Organization
MAGNOLIA MEDICAL, LLC
Active
Parent organization
MAGNOLIA MEDICAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA MEDICAL, LLC
Authorized official
XAVIER M HOSKINS (MANAGING PARTNER)
(225) 615-8693
Entity
Organization
Contact information
Practice address
300 HIGHLAND BLVD STE G, NATCHEZ, MS 39120-4600
(601) 442-6493
(601) 445-0999
Mailing address
304 HIGHLAND BLVD STE B, NATCHEZ, MS 39120-4624
(601) 442-6493
(601) 445-0999
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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