Individual
SABRINA MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
115 BRAMBLE BUSH TRL, COVINGTON, GA 30014-5972
(770) 670-0540
Mailing address
175 CHEYENNE DR, COVINGTON, GA 30016-6608
(770) 670-0540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN225272
GA
163WC0400X
Case Management Registered Nurse
RN225272
GA
163WG0000X
General Practice Registered Nurse
RN225272
GA
163WH0200X
Home Health Registered Nurse
RN225272
GA
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/31/2013
Last updated
08/15/2022
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