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Madison Medical, Pllc
Primary Care Clinic/Center in Madison, West Virginia
NPI 1629035449

Madison Medical, Pllc is a Primary Care Clinic/Center based in Madison, WV and is specialized in Primary Care. Madison Medical, Pllc practices in Madison, WV. The NPI Number for Madison Medical, Pllc is 1629035449 and holds a License No. 11402 (West Virginia).

The current practice location address for Madison Medical, Pllc is 467 Main St, Madison, WV and can be reached out via phone at 304-369-5170 and via fax at 304-369-0946.

Location: 467 Main St, Madison, WV, 25130-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629035449
Provider Name
Madison Medical, Pllc
Credential
Provider Entity Type
Organization
Address
467 Main St, Madison, WV, 25130-2200
Phone Number
304-369-5170
Fax Number
304-369-0946
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0011063000 05 WV
institution
Provider Business Practice Location Address Details
Address
467 Main St
City
Madison
State
West Virginia
Zip
25130-2200
Phone Number
304-369-5170
Fax Number
304-369-0946
person
Provider Business Mailing Address Details
Address
467 Main St
City
Madison
State
West Virginia
Zip
25130-2200
Phone Number
304-369-5170
Fax Number
304-369-0946
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
11402 (West Virginia)
Definition
Definition to come...
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