Individual
MADISON R MALMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 596-4000
Mailing address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 596-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14751
TX
Other
Enumeration date
07/02/2021
Last updated
07/07/2023
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