Individual
KIMBERLY MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
908 CREEL LN, ATLANTA, GA 30349-5189
(888) 276-9635
Mailing address
908 CREEL LN, ATLANTA, GA 30349-5189
(888) 276-9635
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
GA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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