Individual
MADALINE B. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2706
(434) 924-9068
Mailing address
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101043159
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006100767
—
VA
Enumeration date
11/07/2006
Last updated
08/10/2023
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