Individual
MADISON MCCOLLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3827 JIMMY LEE SMITH PKWY STE 122, HIRAM, GA 30141-2804
(770) 943-1142
Mailing address
311 PINHURST DRIVE, VININGS, GA 30339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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