Individual
SANDRA MADARIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1984 PEACHTREE RD NW, SUITE 515, ATLANTA, GA 30309-5219
(404) 351-1745
(404) 351-7121
Mailing address
1984 PEACHTREE RD NW, SUITE 515, ATLANTA, GA 30309-5219
(404) 351-1745
(404) 351-7121
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
002463
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00505755C
—
GA
Enumeration date
01/08/2007
Last updated
08/29/2013
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