Organization
MAGNOLIA MEDICAL HOUSE CALLS, PLLC
Active
Other names
Magnolia Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ELIZABETH GODDARD NP (OWNER/PRESIDENT)
(334) 218-0160
Entity
Organization
Contact information
Practice address
850 TUSCALOOSA ST STE A, GREENSBORO, AL 36744-1562
(601) 832-0662
Mailing address
850 TUSCALOOSA ST STE A, GREENSBORO, AL 36744-1562
(601) 832-0662
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
10/06/2024
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