Individual
MRS. MADISON TAYLOR HOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1110 W PEACHTREE ST NW STE 1100, ATLANTA, GA 30309-3609
(404) 892-2131
(404) 215-9222
Mailing address
2807 WINDING LN NE, BROOKHAVEN, GA 30319-3235
(678) 588-4056
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10469
GA
Other
Enumeration date
08/08/2021
Last updated
02/08/2023
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