Individual
MADISON BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060-1179
(770) 424-9732
(770) 421-0228
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/07/2020
Last updated
10/27/2021
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