Individual
MADELEINE FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 GLENLAKE PKWY, ATLANTA, GA 30328-3473
(770) 677-6085
Mailing address
3495 PIEDMONT RD NE, BUILDING NINE, ATLANTA, GA 30305-1717
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
55433
GA
Other
Enumeration date
09/25/2006
Last updated
01/13/2022
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