Individual
MADELEINE M FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 HOWELL MILL RD NW STE 175, ATLANTA, GA 30318-0924
(404) 607-1777
(404) 607-1799
Mailing address
1800 HOWELL MILL RD NW STE 175, ATLANTA, GA 30318-0924
(404) 607-1777
(404) 607-1799
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11065
GA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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