Organization
MAGNOLIA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANE KENDALL GREGORY MD (PHYSICIAN)
(706) 629-8622
Entity
Organization
Contact information
Practice address
185 PROFESSIONAL CT SE STE C, CALHOUN, GA 30701-7030
(706) 629-8622
(706) 629-8674
Mailing address
PO BOX 2726, CALHOUN, GA 30703-2726
(706) 629-8622
(706) 629-8674
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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