Magnolia Lane Plastic Surgery, Llc

LBN: Magnolia Lane Plastic Surgery, Llc
Magnolia Lane Plastic Surgery, Llc is an health care organization with primary practice located at 3651 Wheeler Rd , Augusta GA 30909-6521. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Magnolia Lane Plastic Surgery, Llc can be contacted via phone (706) 651-3232, or through Medina, Manuel via phone (787) 240-9004.

Contact Information

Primary practice address
3651 Wheeler Rd Augusta GA 30909-6521
Phone: (706) 651-3232
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Medina, Manuel Doctor of Medicine (MD)
Phone: (787) 240-9004

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1659139590
LBN Legal business name Magnolia Lane Plastic Surgery, Llc
DBA Doing business as
Authorized official Medina, Manuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2024
Last updated Mar 6th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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