Individual
MADISON BAUCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
400 TOWER RD NE STE 140, MARIETTA, GA 30060-9412
(866) 483-5378
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11915
SC
225100000X
Physical Therapist
Primary
CP043616T
GA
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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