| Magnolia Medicine Dpc | |
|
600 Wade Ave Ste A Raleigh NC 27605-3121 | |
| (919) 228-8155 | |
| (984) 220-9276 |
| Full Name | Magnolia Medicine Dpc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Wade Ave Ste A, Raleigh, North Carolina |
| Authorized Official Name and Position | Johanna Hadley Sampson (PHYSICIAN OWNER) |
| Authorized Official Contact | 3176978490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medicine Dpc 600 Wade Ave Ste A Raleigh NC 27605-3121 Ph: (919) 228-8155 | Magnolia Medicine Dpc 600 Wade Ave Ste A Raleigh NC 27605-3121 Ph: (919) 228-8155 |
| NPI Number | 1770459299 |
|---|---|
| Provider Enumeration Date | 10/13/2025 |
| Last Update Date | 10/13/2025 |
| Certification Date | 10/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770459299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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