Organization
MAGNOLIA MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CHARLES HYDE (MANAGING PARTNER)
(225) 763-1314
Entity
Organization
Contact information
Practice address
5412 DIJON DR, BATON ROUGE, LA 70808-4315
(225) 615-8693
(225) 448-2280
Mailing address
304 HIGHLAND BLVD, SUITE B, NATCHEZ, MS 39120
(601) 442-6493
(601) 445-0999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
05828/11.1
MS
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
07/21/2022
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