Individual
MADISON ALICE ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3084 MOSS STONE LN, MARIETTA, GA 30064-6415
(770) 910-4878
Mailing address
3084 MOSS STONE LN, MARIETTA, GA 30064-6415
(770) 910-4878
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9649
GA
Other
Enumeration date
01/23/2020
Last updated
03/11/2024
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