MAGNOLIA BLOOMS PCHLLC NPI 1750536819

NPI Information

NPI: 1750536819
Provider Name: MAGNOLIA BLOOMS PCH,LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1250 NICHOLSVILLE RD NW
MONROE, GA
ZIP 30656
Phone: (678) 458-2011
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MAGNOLIA BLOOMS PCH,LLC is a health service clinic center in Monroe, GA. MAGNOLIA BLOOMS PCH,LLC NPI is 1750536819. The provider is registered as an organization entity type.

The provider's business location address is:

1250 NICHOLSVILLE RD NW
MONROE, GA
ZIP 30656-469
Phone: (678) 458-2011

The provider's authorized official is Sandy Wages Ballard .
The authorized official title is Owner and has the following contact phone number (678) 458-2011.

The enumeration date for this NPI number is 11/17/2008 and was last updated on 11/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	147-01-013-1	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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