Organization
FOUNDATION HEALTH SERVICES, PLLC
Active
Other names
Foundation Health Urgent Care, Madill Enterprises, LLC, Foundation Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MADILL D.C. (OWNER)
(770) 572-1121
Entity
Organization
Contact information
Practice address
5583 BOBBY HICKS HWY STE 205, GRAY, TN 37615-3283
(423) 707-2509
(423) 430-6002
Mailing address
5583 BOBBY HICKS HWY STE 205, GRAY, TN 37615-3283
(423) 707-2509
(423) 430-6002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/26/2015
Last updated
04/14/2022
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