# MADISON HMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578129177
- **Authorized official:** JAMES P WRIGHT (VP PHYSICIAN BUSINESS SERVICES)
- **Authorized official phone:** (615) 778-1502

## Contact information

- **Practice address:** 161 RIVER OAKS DR, CANTON, MS 39046-5375
- **Practice address phone:** (601) 855-4011
- **Practice address fax:** (601) 936-3116
- **Mailing address:** 161 RIVER OAKS DR, CANTON, MS 39046-5375
- **Mailing address phone:** (601) 855-4011
- **Mailing address fax:** (601) 936-3116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2019
- **Last updated:** 05/22/2019