Organization
MAGNOLIA FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERISE D. TRIPLETT (OFFICE MANAGER)
(276) 676-1133
Entity
Organization
Contact information
Practice address
611 CAMPUS DR, SUITE 200, ABINGDON, VA 24210-9700
(276) 676-1133
(276) 676-1115
Mailing address
611 CAMPUS DR, SUITE 200, ABINGDON, VA 24210-9700
(276) 676-1133
(276) 676-1115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207QA00000X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400152
ANTHEM BLUE CROSS BLUE SH
VA
Enumeration date
01/31/2006
Last updated
08/22/2020
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