Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK ENOCH MADSEN IV, DPM
ActiveMR. JACK ENOCH MADSEN IV, DPM is a Podiatrist healthcare provider located in ATLANTA, Georgia. NPI 1780943043 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · ATLANTA, GA
Registration Details
- NPI Number
- 1780943043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2012 (14.308116796395 yrs)
- Last Updated
- Feb 10, 2022
- License
-
POD001281 (GA)
Practice Information
- Address
-
5445 MERIDIAN MARK RDSTE. 390ATLANTA, GA, 303424763Browse GA providers · Browse ZIP 30342
- Phone
- 4042373668
- Fax
- 4042379563
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. WALTER BEROSKY ATKINS | D.P.M. | 1750386637 |
| CHARLES FRANCIS FENTON III | DPM | 1942202783 |
| HEATHER HALL MORSE | DPM | 1689676439 |
| CRAIG A. CAMASTA | DPM | 1235131079 |
| IRVING HOWARD MILLER | DPM | 1154323830 |
| RAYMOND JOSEPH NOONAN JR. | DPM | 1538161120 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.