Organization
MAGNOLIA MEDICAL LLC
Active
Other names
United Doctors Family Medical Center Sand Rock
Organization subpart
No
Provider details
NPI number
Authorized official
ENRICO D GASPAR MD (OWNER)
(256) 840-8181
Entity
Organization
Contact information
Practice address
2820 AL HIGHWAY 68 W, SANDROCK, AL 35983-4200
(205) 386-4341
(256) 523-1503
Mailing address
2820 AL HIGHWAY 68 W, SANDROCK, AL 35983-4200
(256) 523-3627
(256) 523-1503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/10/2021
Last updated
04/09/2022
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