Madinah Ralston, PH.D

NPI 1528289436 · on the registry since 2007 · sole proprietor

Practice

Address: 1631 Phoenix Blvd
Suite 5
College Park, GA 30349
Phone: (770) 909-6550
Fax: (770) 909-6551
Organisation at this address: Centers For Pediatric Dental Sedation Llc
Phoenix Medical Office At College Park,Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia