| Magnolia Healthcare | |
|
504 Segars Mill Rd Hartsville SC 29550-8070 | |
| (843) 621-0799 | |
| Not Available |
| Full Name | Magnolia Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 504 Segars Mill Rd, Hartsville, South Carolina |
| Authorized Official Name and Position | Emmanuel O Quaye (PROPRIETOR) |
| Authorized Official Contact | 8436210799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Healthcare Po Box 1469 Hartsville SC 29551-1469 Ph: (843) 621-0799 | Magnolia Healthcare 504 Segars Mill Rd Hartsville SC 29550-8070 Ph: (843) 621-0799 |
| NPI Number | 1255563870 |
|---|---|
| Provider Enumeration Date | 08/15/2009 |
| Last Update Date | 08/15/2009 |
| Medicare PECOS PAC ID | 1658415930 |
|---|---|
| Medicare Enrollment ID | O20100224000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255563870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nailah Roland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558656421 PECOS PAC ID: 4385963529 Enrollment ID: I20150508002368 |
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