Individual
MISS MAGDALENE BROOKE CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
590 NANCY ST NW, MARIETTA, GA 30060-1334
(770) 423-0395
Mailing address
590 NANCY ST NW, MARIETTA, GA 30060-1334
(770) 423-0395
(770) 499-0352
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
GA
Other
Enumeration date
12/27/2024
Last updated
04/07/2026
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