Organization
MAGNOLIA FAMILY MEDICINE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA STREICHER GREEN DO (OWNER/MEDICAL DIRECTOR)
(931) 212-1479
Entity
Organization
Contact information
Practice address
1402 WILLOW DR, MANCHESTER, TN 37355-2438
(931) 450-1000
(931) 450-1004
Mailing address
1344 MCBRIDES BRANCH RD, BEECHGROVE, TN 37018-3718
(931) 212-1479
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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