Organization
HORMONE HEALTH AND WEIGHT LOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI YOUNG (OFFICE)
(256) 513-7255
Entity
Organization
Contact information
Practice address
3776 SULLIVAN ST, SUITE C, MADISON, AL 35758-2371
(256) 513-7255
Mailing address
3776 SULLIVAN ST, SUITE C, MADISON, AL 35758-2371
(256) 513-7255
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
106252
AL
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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