Individual
CARRIE L MADEJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
917 JONESBORO ROAD, MCDONOUGH, GA 30253-6031
(678) 814-4901
(678) 814-4908
Mailing address
P.O. BOX 740209, ATLANTA, GA 30370-4029
(678) 814-4901
(678) 814-4908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399112982A
—
GA
Enumeration date
10/24/2005
Last updated
06/12/2014
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