Individual
MADISON O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1495 HICKORY FLAT HWY STE 100, CANTON, GA 30115-4266
(770) 442-1911
(678) 626-7900
Mailing address
611 LOVINGGOOD TRL, WOODSTOCK, GA 30189-7413
(404) 889-3189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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