NPI 1285060681
Magnolia Medical, LLC
Practice location
- Address
- 400 Carter St, Vidalia, LA 71373-3307
- Phone
- (318) 336-6088
- Fax
- (318) 336-6095
- Mailing address
- 304 Highland Blvd Suite B, Natchez, MS 39120-4624
Authorised official
- Name
- David Hyde
- Title
- Managing Partner
- Phone
- (225) 763-1314
Registered specialties (2)
Oxygen Equipment & Supplies (DME)
Primary
Prosthetic/Orthotic Supplier
Registry record
- NPI
- 1285060681
- Entity type
- Organization
- NPI issued
- 18 Sep 2013
- Record last updated
- 18 Sep 2013
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.