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1518067636
MADELEINE FORTIN
ATLANTA, GA
NPI
1518067636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: GA 55433)
Enumeration Date
2006-09-25
Last Update Date
2022-01-13
Business Address
-- MADELEINE FORTIN
20 GLENLAKE PKWY
ATLANTA, GA 30328-3473
Phone number: 770-677-6085
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Mailing Address
-- MADELEINE FORTIN
3495 PIEDMONT RD NE BUILDING NINE
ATLANTA, GA 30305-1717
Phone number: 404-364-7000
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