Organization
MADISON FAMILY PRACTICE ASSOCIATES. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS SCOTT ROYSTER M.D. (OWNER & PHYSICIAN)
(256) 430-0030
Entity
Organization
Contact information
Practice address
8371 HWY 72 WEST, SUITE 100, MADISON, AL 35758
(256) 430-0030
(256) 721-0408
Mailing address
8371 HWY 72 WEST, SUITE 100, MADISON, AL 35758
(256) 430-0030
(256) 721-0408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13590
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-19621
BLUE CROSS
AL
Enumeration date
04/15/2009
Last updated
04/15/2009
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