NPI 1003399726

Madeline Stafford

Practitioner Student in an Organized Health Care Education/Training Program Marietta, GA

Practice location

Address: 32 Old Stonemill Rd NE, Marietta, GA 30067-4128
Phone: (404) 402-0364

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Georgia →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1003399726
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2018
Record last updated: 9 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.