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General NPI Number Information
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NPI Number | 1164159646
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Entity Type | Organization
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Legal Business Name | MAGNOLIA URGENT CARE & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 201 W MARION AVE
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City | NASHVILLE
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State | GA
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Zip | 31639-2123
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Country | US
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Telephone | 229-686-1886
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Fax |
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Provider Business Mailing Address
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Address Line | 2533 OLD RAY CITY RD
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City | NASHVILLE
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State | GA
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Zip | 31639-3412
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Country | US
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Telephone | 229-686-1886
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Fax | 877-550-1669
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | DR. STEWART DREW WARREN
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Credential | MD
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Telephone | 850-591-3046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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