Individual
MADELINE WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7001
Mailing address
2367 WHISPERING DR NW, KENNESAW, GA 30144-5678
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN269189
GA
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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