Organization
MAGNOLIA MED MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF SANDERS MD.PHD (PSYCHIATRIST)
(404) 850-9712
Entity
Organization
Contact information
Practice address
2300 HENDERSON MILL RD NE STE 310, ATLANTA, GA 30345-2704
(404) 850-9712
Mailing address
2300 HENDERSON MILL RD NE STE 310, ATLANTA, GA 30345-2704
(404) 850-9712
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821124488
—
CA
Enumeration date
04/02/2019
Last updated
02/21/2026
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