Magnolia Medical
Clinic/Center, Medical Specialty in Calhoun, GA. Organization (NPI-2).
NPI number1649445271
StatusActive
Last updated in NPPESApr 24, 2008
Details
- NPI
- 1649445271
- Entity type
- Organization (NPI-2)
- Legal business name
- Magnolia Medical
- Organization subpart
- No
- Enumeration date
- Apr 24, 2008
- Last updated
- Apr 24, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
185 Professional Ct Se Ste CCalhoun, GA 30701-7030
Phone 706-629-8622 · Fax 706-629-8674
Mailing address
Po Box 2726Calhoun, GA 30703-2726
Phone 706-629-8622 · Fax 706-629-8674
Authorized official
Dane Kendall Gregory
Physician
7066298622
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