Organization
THE MAGNOLIA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L DUHON CNP (NURSE PRACTITIONER)
(337) 625-0035
Entity
Organization
Contact information
Practice address
914 S POST OAK RD, SULPHUR, LA 70663-5246
(337) 625-0035
(337) 625-0036
Mailing address
914 S POST OAK RD, SULPHUR, LA 70663-5246
(337) 625-0035
(337) 625-0036
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440639
—
LA
Enumeration date
03/22/2007
Last updated
08/22/2020
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