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Individual

DR. MADELINE FAITH VERSAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3800 FOREST DR, COLUMBIA, SC 29204-4146
(803) 764-2363
Mailing address
14 WOODSIDE DR, CAPE MAY COURT HOUSE, NJ 08210-2005
(609) 713-8318

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02208700
NJ
225100000X
Physical Therapist
CP027979T
GA
225100000X
Physical Therapist
CP042668T
SC

Other

Enumeration date
09/13/2023
Last updated
08/12/2025
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