Individual
JAYLIN MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 WALDEN BROOK DR, STONECREST, GA 30038-1210
(918) 805-2779
Mailing address
2105 WALDEN BROOK DR, STONECREST, GA 30038-1210
(918) 805-2779
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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