Madison O'brien

NPI #1851973267 in Canton, Georgia

Provider Information

NPI Number: 1851973267
Entity Type: Individual
Name: Madison O'brien
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 25, 2021
Last Updated: Apr 25, 2021

Practice Location

Address: 1495 HICKORY FLAT HWY STE 100
City: Canton
State: Georgia
ZIP Code: 30115-4266
Phone: (770) 442-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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