Organization
MAGNOLIA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA ALEXANDER (MANAGING PARTNER)
(601) 334-2599
Entity
Organization
Contact information
Practice address
7516 BLUEBONNET BLVD, BOX 434, BATON ROUGE, LA 70810-1627
(225) 752-7088
(225) 448-2280
Mailing address
8261 SUMMA AVE, SUITE G, BATON ROUGE, LA 70809-3452
(225) 752-7088
(225) 448-2880
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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