Individual
MADDISON VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1108 ROSS CLARK CIR STE 210, DOTHAN, AL 36301-3022
(334) 712-3329
(334) 305-0219
Mailing address
1108 ROSS CLARK CIR STE 210, DOTHAN, AL 36301-3022
(334) 712-3329
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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