| NPI | 1811145758 |
|---|---|
| Doing Business As | MADISON PRIMARY CARE AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY P SULLIVAN Physician 256-830-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO832) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |