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Individual

GEORGE HENRY MADISON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1033 E WALNUT ST STE B, EVANSVILLE, IN 47714-1039
(812) 306-5794
(812) 962-0505
Mailing address
1033 EAST WALNUT SUITE B, EVANSVILLE, IN 47714-1037
(812) 306-5794
(812) 962-0505

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/12/2008
Last updated
11/09/2009
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