Magnolia Medical Center

LBN: Parkside Medical Consultants Llc
Magnolia Medical Center is an health care organization with primary practice located at 410 University Pkwy Suite 2300, Aiken SC 29801-6807. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Parkside Medical Consultants Llc can be contacted via phone (803) 649-6366, or through Muniz, Margo Johanna via phone (803) 649-6366.

Contact Information

Primary practice address
410 University Pkwy Suite 2300 Aiken SC 29801-6807
Fax: (803) 649-6347
Website:
Authorized official contact:
Name: Muniz, Margo Johanna MD RPH

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22170 South Carolina

Profile Details

NPI number 1184704850
LBN Legal business name Parkside Medical Consultants Llc
DBA Doing business as Magnolia Medical Center
Authorized official Muniz, Margo Johanna MD RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated May 20th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184704850 NPPES
South Carolina MEDICAID GP4538

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