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

Magnolia Medical Internal Medicine Inc

Organization Internal Medicine Physician · NPI 1073471561

Magnolia Medical Internal Medicine Inc is an Internal Medicine Physician in Shreveport, Louisiana. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7591 Fern Ave Ste 1401
Shreveport, LA 71105-5747
Phone: (318) 208-1804
Fax: (318) 203-5145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1073471561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cody Tingle — Owner, Physician · (318) 208-1804
NPI enumeratedJanuary 13, 2026
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address7591 Fern Ave Ste 1401, Shreveport, LA 71105-5747

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