Individual
MADISON NORA CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4939 PATTON DR, VALDOSTA, GA 31605-7573
(508) 840-3380
Mailing address
4939 PATTON DR, VALDOSTA, GA 31605-7573
(508) 840-3380
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004140
GA
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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