Most Relevant Information
Provider Data
| NPI Number: | 1003682881 |
| Provider Name: | MADISON HOWARD |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT016928 |
Most Important Dates
| Enumeration Date: | 12/01/2023 |
| Last Updated: | 09/16/2024 |
Provider Practice Location
800 MOUNT VERNON HWY NE STE 160
ATLANTA
GA
303284294
Practice Location Phone/Fax
| Phone: | 7707095519 |
| Fax: |
Provider Mailing Location
800 MOUNT VERNON HWY NE STE 160
ATLANTA
GA
303284294
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |