Individual
DR. MADISON GREER LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
505 IRVIN CT STE 101, DECATUR, GA 30030-1780
(404) 297-0821
Mailing address
2689 OAKVILLE PLANTATION RD, JOHNS ISLAND, SC 29455-4619
(843) 303-0270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016681
GA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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