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Mr. Brently T Madaris, NP
Family Nurse Practitioner in Summerville, Georgia
NPI 1285704957

Brently T Madaris is a Family Nurse Practitioner based in Summerville, GA and is specialized in Family. Brently T Madaris practices in Summerville, GA and has the professional credentials of NP. The NPI Number for Brently T Madaris is 1285704957 and holds a License No. APN0000006974 (Georgia).

The current practice location address for Brently T Madaris is 4614 Trion Teloga Rd, Summerville, GA and can be reached out via phone at 865-670-1003 and via fax at 865-670-1004.

Location: 4614 Trion Teloga Rd, Summerville, GA, 30747-6314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285704957
Provider Name
Brently T Madaris
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
4614 Trion Teloga Rd, Summerville, GA, 30747-6314
Phone Number
865-670-1003
Fax Number
865-670-1004
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4614 Trion Teloga Rd
City
Summerville
State
Georgia
Zip
30747-6314
Phone Number
865-670-1003
Fax Number
865-670-1004
person
Provider Business Mailing Address Details
Address
4614 Trion Teloga Rd
City
Summerville
State
Georgia
Zip
30747-6314
Phone Number
865-670-1003
Fax Number
865-670-1004
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
RN097785 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN0000006974 (Tennessee)
Definition
Definition to come...
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