Individual
ADAM MADISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 NATHAN ST APT H, ELKINS, WV 26241-3363
(304) 642-4116
Mailing address
501 WILSON LN, ELKINS, WV 26241-5216
(304) 636-9326
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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