| Magnolia Lane Ga Partners Llc | |
|
1235 Robinson Rd Ste H Peachtree City GA 30269-3832 | |
| (770) 487-1880 | |
| (770) 487-1851 |
| Full Name | Magnolia Lane Ga Partners Llc |
|---|---|
| Speciality | Dentist |
| Location | 1235 Robinson Rd Ste H, Peachtree City, Georgia |
| Authorized Official Name and Position | Jacqueline Delash (OWNER) |
| Authorized Official Contact | 7703367074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Lane Ga Partners Llc 1235 Robinson Rd Ste H Peachtree City GA 30269-3832 Ph: (770) 487-1880 | Magnolia Lane Ga Partners Llc 1235 Robinson Rd Ste H Peachtree City GA 30269-3832 Ph: (770) 487-1880 |
| NPI Number | 1194542928 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 11/24/2025 |
| Medicare PECOS PAC ID | 2062930167 |
|---|---|
| Medicare Enrollment ID | O20250513000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194542928 | NPI | - | NPPES |
Dentistry For Children Of Peachtree City, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 Highway 74 S Ste 210, Peachtree City, GA 30269 Phone: 770-692-7222 Fax: 770-692-7225 | |
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