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Organization
ADVENT HEALTH LLC
Active
Organization
ADVENT HEALTH LLC
Active
Other names
Madison Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE HAMILTON GILLIAM CRNP (CRNP)
(256) 325-0955
Entity
Organization
Contact information
Practice address
1230 SLAUGHTER RD STE C, MADISON, AL 35758-5901
(256) 325-0955
Mailing address
1230 SLAUGHTER RD STE C, MADISON, AL 35758-5901
(256) 325-0955
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/22/2020
Last updated
10/01/2020
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