Organization
ADVENT HEALTH LLC
Active
Other names
Madison Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE HAMILTON GILLIAM CRNP (CRNP)
(256) 325-0955
Entity
Organization
Contact information
Practice address
1230 SLAUGHTER RD STE C, MADISON, AL 35758-5901
(256) 325-0955
Mailing address
1230 SLAUGHTER RD STE C, MADISON, AL 35758-5901
(256) 325-0955
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/22/2020
Last updated
10/01/2020
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