Individual
MADISON HARBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 MITCHELL RD NE, CULLMAN, AL 35055-5903
(256) 734-4688
Mailing address
612 COUNTY ROAD 1482, CULLMAN, AL 35058-0849
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-074844
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
03/16/2022
Last updated
03/16/2022
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