Individual
MADISON THURMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1013
(404) 778-2020
Mailing address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003671
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2025
Last updated
07/18/2025
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