Individual
MADISON DEMETRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(770) 820-9231
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(770) 820-9231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN283413
GA
Other
Enumeration date
03/12/2021
Last updated
04/02/2023
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