Individual
MADISON DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Mailing address
412 ASHLAND DR, AUGUSTA, GA 30909-3790
(678) 699-9957
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN311662
GA
363L00000X
Nurse Practitioner
Primary
APRNNP311662
GA
Other
Enumeration date
03/04/2025
Last updated
02/11/2026
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