Organization
MAGNOLIA MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HYDE (MANAGING PARTNER)
(225) 763-1314
Entity
Organization
Contact information
Practice address
304 HIGHLAND BLVD, SUITE B, NATCHEZ, MS 39120-4624
(601) 442-6493
(601) 445-0999
Mailing address
304 HIGHLAND BLVD, SUITE B, NATCHEZ, MS 39120-4624
(601) 442-6493
(601) 445-0999
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
09/05/2013
Last updated
01/22/2015
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