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

Magnolia Midlands Pain Management

Organization Specialist · NPI 1811124456

Magnolia Midlands Pain Management is a Specialist 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
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