Provider Demographics
NPI:1679467104
Name:MCGUIRT, MADISON (RN)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:MCGUIRT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6529 BEACON DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2983
Mailing Address - Country:US
Mailing Address - Phone:910-691-3181
Mailing Address - Fax:
Practice Address - Street 1:6529 BEACON DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-2983
Practice Address - Country:US
Practice Address - Phone:910-691-3181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN300196163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine