Individual
MR. GEORGE H MADISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 E WALNUT ST, EVANSVILLE, IN 47714-1039
(812) 962-0240
(812) 962-0505
Mailing address
1033 E WALNUT ST, EVANSVILLE, IN 47714-1039
(812) 962-0240
(812) 962-0505
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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