Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Magnolia Midlands Pain Management

Organization Specialist · NPI 1811124456

Magnolia Midlands Pain Management provides Specialist services in Jesup, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

186 S Macon St
Jesup, GA 31545-1117 Not confirmed with CMS for 13 years — call before visiting
Phone: (912) 530-7516
Fax: (912) 530-7517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 062371 (GA)
Specialist Taxonomy 174400000X

Record details

NPI number1811124456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mandy Burke — Office Manager · (912) 530-7516
NPI enumeratedJune 22, 2009
Last updated in NPPESNovember 5, 2012
Mailing address186 S. Macon Street, Jesup, GA 31545-1117

Other providers in Jesup