MEDICARE: DR. MAJA MAGAZIN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	5549	TN
2	207W00000X	Ophthalmology Physician	OS23311	FL
3	207R00000X	Internal Medicine Physician	11873	GA

General Provider Information

NPI Number	:	1194349563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAJA MAGAZIN DO

Provider Business Mailing Address
First Line	:	1068 CRESTHAVEN RD STE 300
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-0809
Country	:	US
Telephone Number	:	901-866-8864
Fax Number	:

Provider Business Practice Location Address
First Line	:	1068 CRESTHAVEN RD STE 400
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-0845
Country	:	US
Telephone Number	:	901-448-6650
Fax Number	:	901-302-2486

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	06/04/2026

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Directions to “ DR. MAJA MAGAZIN DO” Practice Location

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