SearchGeorgia106H00000X

Madison Clark

NPI 1841645389 · on the registry since 2016 · sole proprietor

Practice

Address
11615 Northgate Trl
Roswell, GA 30075
Phone
(678) 643-5421

Registry record

Primary taxonomy
106H00000X
106H00000X
Sex
Female
Record last updated
2016-05-03

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