| NPI | 1447868757 |
|---|---|
| Doing Business As | MADISON INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BLAKE HAMILTON GILLIAM C RN P 256-325-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-10-01 |