| Madison Longchamp Llc | |
|
4080 Mcginnis Ferry Rd Ste 104 Alpharetta GA 30005-3901 | |
| (706) 431-5390 | |
| Not Available |
| Full Name | Madison Longchamp Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4080 Mcginnis Ferry Rd Ste 104, Alpharetta, Georgia |
| Authorized Official Name and Position | Madison Longchamp (OWNER) |
| Authorized Official Contact | 7064315390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Longchamp Llc 4080 Mcginnis Ferry Rd Ste 104 Alpharetta GA 30005-3901 Ph: () - | Madison Longchamp Llc 4080 Mcginnis Ferry Rd Ste 104 Alpharetta GA 30005-3901 Ph: (706) 431-5390 |
| NPI Number | 1891584090 |
|---|---|
| Provider Enumeration Date | 05/05/2025 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891584090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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