Organization
MADISON COUNTY
Active
Organization
MADISON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY L DAVIS (SUPERINTENDENT)
(256) 852-2557
Entity
Organization
Contact information
Practice address
1275 JORDAN RD # F, HUNTSVILLE, AL 35811-9378
(256) 852-2557
Mailing address
PO BOX 226, HUNTSVILLE, AL 35804-0226
(256) 852-2557
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022045000
—
AL
05
—
052045000
—
AL
05
—
064045000
—
AL
05
—
065045000
—
AL
05
—
068045000
—
AL
05
—
089045000
—
AL
Enumeration date
03/22/2007
Last updated
09/16/2008
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