NPI 1124482617

Magnolia Medical LLC

Organisation Prosthetic/Orthotic Supplier Shreveport, LA

Practice location

Address: 1950 E 70th St Suite H, Shreveport, LA 71105-5345
Phone: (318) 219-5219
Fax: (888) 542-4810
Mailing address: 304 Highland Blvd Suite B, Natchez, MS 39120-4624

Authorised official

Name: Tina R Alexander
Title: General Manager
Phone: (601) 334-2599

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Louisiana →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Louisiana →

Registry record

NPI: 1124482617
Entity type: Organization
NPI issued: 11 Apr 2016
Record last updated: 11 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.