Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Lane Plastic Surgery, LLC

Organization Plastic Surgery Physician · NPI 1659139590

Magnolia Lane Plastic Surgery, LLC provides Plastic Surgery Physician services in Augusta, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3633 Wheeler Rd Ste 110
Augusta, GA 30909-6544
Phone: (706) 723-1632
Fax: (706) 869-3841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1659139590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taylor Cato — Office Manager · (706) 723-1632
NPI enumeratedMarch 6, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address607 Ronald Reagan Dr Unit 724, Evans, GA 30809-7729

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