Organization
MAGNOLIA SPRINGS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN M HIVELY FNP-BC (NP, OWNER/OPERATOR/CEO)
(912) 655-5614
Entity
Organization
Contact information
Practice address
1102 E 55TH ST, SAVANNAH, GA 31404-4612
(912) 655-5614
(912) 358-1501
Mailing address
626 E 49TH ST, SAVANNAH, GA 31405-2453
(912) 655-5614
(912) 358-1501
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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