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MAGNOLIA COMFORT MEDICAL LLC NPI 1154940906


NPI Information

NPI: 1154940906
Provider Name: MAGNOLIA COMFORT MEDICAL LLC

Former Legal Business Name: MAGNOLIA COMFORT CHIROPRACTIC LLC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4935 JIMMY CARTER BLVD STE 360
NORCROSS, GA
ZIP 30093
Phone: (470) 545-0275
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MAGNOLIA COMFORT MEDICAL LLC is a general practice in Norcross, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MAGNOLIA COMFORT MEDICAL LLC NPI is 1154940906. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Magnolia Comfort Chiropractic Llc.

The provider's business location address is:

4935 JIMMY CARTER BLVD STE 360
NORCROSS, GA
ZIP 30093-536
Phone: (470) 545-0275

The provider's authorized official is Kevin T Le .
The authorized official title is Owner and has the following contact phone number (470) 545-0275.

The enumeration date for this NPI number is 4/12/2020 and was last updated on 10/28/2020.


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
1111N00000XChiropractorNo
2208D00000XGeneral PracticeYes

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

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