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

Magnolia Medical Group, LLC

Organization Family Medicine Physician · NPI 1801340856

Magnolia Medical Group, LLC provides Family Medicine Physician services in Eatonton, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
2
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

946 Harmony Rd
Eatonton, GA 31024-5877
Phone: (706) 991-5320
Fax: (866) 720-5313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME53031 (GA)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1801340856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Lance — Doctor/Owner · (478) 453-2341
NPI enumeratedAugust 8, 2016
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address946 Harmony Rd Ste B, Eatonton, GA 31024-5877

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