Individual
MADELEINE BOYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
771 OLD NORCROSS RD STE 105, LAWRENCEVILLE, GA 30046-4977
(770) 509-4030
Mailing address
1462 CLIFTON RD NE STE 280, ATLANTA, GA 30322-9090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT00379
RI
363A00000X
Physician Assistant
Primary
11512
GA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2015
Last updated
03/30/2023
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