SOUTHERN MAGNOLIA HEALTHCARE NPI 1396542320

NPI Information

  • NPI: 1396542320
  • Provider Name: SOUTHERN MAGNOLIA HEALTHCARE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2044 THREE PUTT LN
    PANAMA CITY, FL
    ZIP 32404
  • Phone: (850) 322-2270

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NPI Details

SOUTHERN MAGNOLIA HEALTHCARE is a primary care clinic center in Panama City, FL. SOUTHERN MAGNOLIA HEALTHCARE NPI is 1396542320. The provider is registered as an organization entity type.

The provider's business location address is:

2044 THREE PUTT LN
PANAMA CITY, FL
ZIP 32404-736
Phone: (850) 322-2270

The provider's authorized official is Heather Hunter .
The authorized official title is Owner and has the following contact phone number (850) 322-2270.

The enumeration date for this NPI number is 2/27/2025 and was last updated on 2/27/2025.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

NPI Synchronization or Removal

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