Organization · Type 2 NPI
Magnolia Functional Medicine, LLC
General Practice Physician · Charleston, SC
NPI number
1952196826
Active
Practice location
1064 Gardner Rd Ste 208
Charleston, SC 29407-1712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Naturopath | 175F00000X | None listed |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
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About NPI 1952196826
Magnolia Functional Medicine, LLC's National Provider Identifier is 1952196826, issued on Apr 11, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Charleston, SC. The record was last updated on May 15, 2026.