Individual
MADISON SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 TOWN BLVD NE STE 550, BROOKHAVEN, GA 30319-3292
(404) 869-1912
Mailing address
6397 LEE HWY, CHATTANOOGA, TN 37421-2564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015853
GA
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/12/2022
Last updated
05/13/2022
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