Provider Demographics
NPI:1407536741
Name:TOMBERLIN, MADISON VOSS (FNP-C)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:VOSS
Last Name:TOMBERLIN
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:GA
Mailing Address - Zip Code:31408-1415
Mailing Address - Country:US
Mailing Address - Phone:912-819-2430
Mailing Address - Fax:912-819-3320
Practice Address - Street 1:82 MAIN ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:GA
Practice Address - Zip Code:31408-1415
Practice Address - Country:US
Practice Address - Phone:912-819-2430
Practice Address - Fax:912-819-3320
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-21
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN297300208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology