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NPI Code Detail

MEDICARE: MADISON GRACE CARR

MEDICARE: MADISON GRACE CARR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1326983834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON GRACE CARR
Provider Business Mailing Address
First Line : 119 AMELIA LN
Second Line :
City : LEESBURG
State : GA
Zip : 31763-5277
Country : US
Telephone Number : 229-449-8712
Fax Number :
Provider Business Practice Location Address
First Line : 1968 PEACHTREE RD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1281
Country : US
Telephone Number : 404-605-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ MADISON GRACE CARR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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