Individual
DR. EDWARD MADISON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2765 SGT ALFRED DR, SLIDELL, LA 70458-4013
(504) 241-0861
(985) 288-5388
Mailing address
2765 SGT ALFRED DR, SLIDELL, LA 70458-4013
(504) 241-0861
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020631
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480631
—
LA
Enumeration date
03/06/2007
Last updated
08/10/2023
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