Individual
MR. GEORGE WAYNE MADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7311
Mailing address
14612 WOODSTREAM PL, LOUISVILLE, KY 40245-5164
(502) 244-3330
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
08 KY 1003
UT
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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