| NPI | 1508500968 |
|---|---|
| Other Name | MADISON |
| Entity Type | Organization |
| Authorized Contact | BONNIE J ROBERTSON Owner 256-797-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2023-03-07 |