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Organization

MAGNOLIA FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER MAGUIRE GROFF NP (OWNER)
(334) 568-5025
Entity
Organization

Contact information

Practice address
1841 GLYNWOOD DR, PRATTVILLE, AL 36066-5584
(334) 568-5025
(334) 568-5021
Mailing address
1841 GLYNWOOD DR, PRATTVILLE, AL 36066-5584
(334) 568-5025
(334) 569-5021

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
02/26/2024
Last updated
04/10/2025
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