Individual
JACQUELINE MADEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, CUMMING, GA 30040
(404) 446-0600
Mailing address
785 BISHOPS CIR, EVANS, GA 30809-6759
(845) 558-1776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13517
GA
Other
Enumeration date
09/01/2025
Last updated
12/05/2025
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