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MAGNOLIA MED MANAGEMENT LLC NPI 1356803985


NPI Information

NPI: 1356803985
Provider Name: MAGNOLIA MED MANAGEMENT, LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
2295 PARKLAKE DR NE STE 552
ATLANTA, GA
ZIP 30345
Phone: (404) 850-9712
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MAGNOLIA MED MANAGEMENT, LLC is a psychiatry psychiatry neurology in Atlanta, GA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MAGNOLIA MED MANAGEMENT, LLC NPI is 1356803985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2295 PARKLAKE DR NE STE 552
ATLANTA, GA
ZIP 30345-844
Phone: (404) 850-9712

The provider's authorized official is Jeff Sanders .
The authorized official title is Psychiatrist and has the following contact phone number (404) 850-9712.

The enumeration date for this NPI number is 4/2/2019 and was last updated on 6/11/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11821124488MEDICAIDCALIFORNIA

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: 4/28/2024

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