Provider Demographics
NPI:1861643645
Name:MADISON, JOY HOVEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:HOVEY
Last Name:MADISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:ANN
Other - Last Name:HOVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6350 LAKE OCONEE PKWY
Mailing Address - Street 2:STE 102 BOX 175
Mailing Address - City:GREENSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30642-6433
Mailing Address - Country:US
Mailing Address - Phone:866-876-8859
Mailing Address - Fax:404-591-4179
Practice Address - Street 1:6350 LAKE OCONEE PKWY
Practice Address - Street 2:STE 102 BOX 175
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-6433
Practice Address - Country:US
Practice Address - Phone:866-876-8859
Practice Address - Fax:404-591-4179
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08408800207Q00000X
IL036083313207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine