Individual
CARLY ROSE MADEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
106 STRANGE RD, STARKVILLE, MS 39759-2540
(601) 910-3004
Mailing address
601 BUCKNER ST, STARKVILLE, MS 39759-7172
(815) 520-2152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00771
MS
Other
Enumeration date
01/31/2024
Last updated
03/31/2026
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