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General NPI Number Information
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NPI Number | 1992695548
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Entity Type | Individual
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Provider Name | MADISON CHRISTINE WILLINGHAM MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 5105 PAULSEN ST STE 241B
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City | SAVANNAH
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State | GA
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Zip | 31405-4622
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Country | US
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Telephone | 912-432-0383
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Fax | 912-200-7971
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Provider Business Mailing Address
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Address Line | 5105 PAULSEN ST STE 241B
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City | SAVANNAH
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State | GA
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Zip | 31405-4622
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Country | US
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Telephone | 912-355-7712
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Fax | 912-200-7971
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN269559
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License Number State | GA
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