Individual
MADISON BAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-5437
Mailing address
1295 DRESDEN DR NE UNIT 452, BROOKHAVEN, GA 30319-5873
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
RN329242
GA
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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