Madison O'Brien

Physician Assistant · Canton, GA

Individual Active NPI

NPI number 1851973267

Practice location

1495 Hickory Flat Hwy Ste 100
Canton, GA 30115-4266
Phone
(770) 442-1911
Fax
(678) 626-7900

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NPI record

NPI
1851973267
Entity type
Individual (Type 1)
Enumeration date
April 25, 2021
Last updated
April 25, 2021
Certified
April 25, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

611 Lovinggood Trl
Woodstock, GA 30189-7413
Phone
(404) 889-3189

About Madison O'Brien

Madison O'Brien is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1495 Hickory Flat Hwy Ste 100, Canton, GA 30115-4266. The NPI number 1851973267 was assigned on April 25, 2021 and the record was last updated on April 25, 2021.

Frequently asked questions

What is the NPI number of Madison O'Brien?

The NPI number is 1851973267.

What is the phone number of Madison O'Brien?

The phone number listed for the practice location is (770) 442-1911.

Where is Madison O'Brien located?

1495 Hickory Flat Hwy Ste 100, Canton, GA 30115-4266.

What is the taxonomy code for Madison O'Brien?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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