Individual
DR. MADELINE ROSE EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(470) 644-6000
Mailing address
6169 GLEN WAY DR, WINSTON SALEM, NC 27107-3786
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022-00373
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
10/15/2023
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