Individual
MADISON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1148 VILLAGE CT SE, ATLANTA, GA 30316-1524
(334) 740-0421
Mailing address
1148 VILLAGE CT SE, ATLANTA, GA 30316-1524
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA237685
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
07/31/2024
Last updated
02/03/2026
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