HomeNPI Verification

NPI Verification

National Provider Identifier: 1952196826

Magnolia Functional Medicine, LLC

Organization

Primary Specialty

General Practice

Code: 208D00000X

All Specialties (3)

Naturopath

Code: 175F00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

General Practice

Code: 208D00000X

Primary

Practice Address

1064 GARDNER RD STE 208

CHARLESTON, SC 294071712

Phone: 843-501-2333

NPI Enumeration Date

April 11, 2025

NPI Number

1952196826

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry