Individual
MADISON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 OLD RAIL RD, BLOOMINGDALE, GA 31302-4025
(912) 421-0140
Mailing address
1699 CHATHAM PKWY APT 1615A, SAVANNAH, GA 31405-7621
(912) 250-9947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004238
GA
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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