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Individual

CAROLYN MADRID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3120 QUEENS WALK NE, ATLANTA, GA 30345-2165
(404) 542-2171
Mailing address
3120 QUEENS WALK NE, ATLANTA, GA 30345-2165
(404) 542-2171

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN168521
GA

Other

Enumeration date
01/07/2018
Last updated
03/16/2018
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