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Individual

MADISON WILLIAMS LINTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(803) 381-6969
Mailing address
1217 DEFOOR CT NW, ATLANTA, GA 30318-2945
(404) 501-1000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-07290
NC
363A00000X
Physician Assistant
Primary
8039
GA

Other

Enumeration date
07/18/2016
Last updated
09/06/2022
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