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 is a Plastic Surgery Physician 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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