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Madison Marie Wickline
Physician Assistant in Atlanta, Georgia
NPI 1174178370

Madison Marie Wickline is a Physician Assistant based in Atlanta, GA. Madison Marie Wickline practices in Atlanta, GA. The NPI Number for Madison Marie Wickline is 1174178370 and holds a License No. (Georgia).

The current practice location address for Madison Marie Wickline is 980 Johnson Ferry Rd Ste 1040, Atlanta, GA and can be reached out via phone at 770-292-3490 and via fax at 404-300-2317.

Location: 980 Johnson Ferry Rd Ste 1040, Atlanta, GA, 30342-1609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174178370
Provider Name
Madison Marie Wickline
Credential
Provider Entity Type
Individual
Gender
Female
Address
980 Johnson Ferry Rd Ste 1040, Atlanta, GA, 30342-1609
Phone Number
770-292-3490
Fax Number
404-300-2317
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
980 Johnson Ferry Rd Ste 1040
City
Atlanta
State
Georgia
Zip
30342-1609
Phone Number
770-292-3490
Fax Number
404-300-2317
person
Provider Business Mailing Address Details
Address
980 Johnson Ferry Rd Ste 1040
City
Atlanta
State
Georgia
Zip
30342-1609
Phone Number
770-292-3490
Fax Number
404-300-2317
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
10258 (Georgia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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