| Magnolia Medical Group, Llc | |
|
946 Harmony Rd Eatonton GA 31024-5877 | |
| (706) 991-5320 | |
| (866) 720-5313 |
| Full Name | Magnolia Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 946 Harmony Rd, Eatonton, Georgia |
| Authorized Official Name and Position | Justin Lance (DOCTOR/OWNER) |
| Authorized Official Contact | 4784532341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medical Group, Llc 946 Harmony Rd Ste B Eatonton GA 31024-5877 Ph: (706) 991-5320 | Magnolia Medical Group, Llc 946 Harmony Rd Eatonton GA 31024-5877 Ph: (706) 991-5320 |
| NPI Number | 1801340856 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 09/19/2024 |
| Medicare PECOS PAC ID | 5799066387 |
|---|---|
| Medicare Enrollment ID | O20161219001375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801340856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | ME53031 (Georgia) | Primary |
| Provider Name | Casey R Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003151028 PECOS PAC ID: 9436302619 Enrollment ID: I20130122000341 |
| Provider Name | Gregory D Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366651507 PECOS PAC ID: 1850466210 Enrollment ID: I20180820000034 |
Lake Oconee Partners In Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Harmony Xing Ste 1, Eatonton, GA 31024 Phone: 706-484-0884 | |
Hormone And Diabetic Infusion Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 Lake Oconee Pkwy Ste 104, Eatonton, GA 31024 Phone: 762-220-1962 Fax: 762-220-1961 | |
Eddie Richardson Jr Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Harmony Xing Ste 5, Eatonton, GA 31024 Phone: 706-340-7252 | |
O Akhras Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Sparta Hwy, Eatonton, GA 31024 Phone: 706-485-4002 Fax: 706-485-7117 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Harmony Xing Ste 5, Eatonton, GA 31024 Phone: 706-454-1210 Fax: 762-298-0799 | |
Susan Leigh Jones Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 952 Lake Oconee Pkwy, Eatonton, GA 31024 Phone: 706-485-0880 Fax: 706-485-0846 | |
Rakesh Kumar Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Sparta Hwy, Eatonton, GA 31024 Phone: 707-485-2621 |