Madison Mccollough

NPI #1598348245 in Hiram, Georgia

Provider Information

NPI Number: 1598348245
Entity Type: Individual
Name: Madison Mccollough
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 30, 2021
Last Updated: Apr 30, 2021

Practice Location

Address: 3827 JIMMY LEE SMITH PKWY STE 122
City: Hiram
State: Georgia
ZIP Code: 30141-2804
Phone: (770) 943-1142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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