Organization
MADISON SPECIALTY CENTER, LLC
Active
Organization
MADISON SPECIALTY CENTER, LLC
Active
Other names
George L Alcorn, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER NORRIS LPN (PRACTICE MANAGER)
(812) 265-5800
Entity
Organization
Contact information
Practice address
2580 MICHIGAN RD, MADISON, IN 47250-2491
(812) 265-5800
(812) 265-5864
Mailing address
PO BOX 816, MADISON, IN 47250-0816
(812) 265-5800
(812) 265-5864
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01028535A
IN
207R00000X
Internal Medicine Physician
Primary
01028535A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204700
—
IN
01
—
1457341281
NPI
IN
01
—
15D1076663
CLIA
—
Enumeration date
01/07/2010
Last updated
01/15/2010
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