Individual
MRS. MADELYN COLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6701 AIRPORT BLVD STE B329, MOBILE, AL 36608-6756
(251) 660-3510
Mailing address
2835 BENNINGTON DR, MOBILE, AL 36695-2677
(251) 209-6397
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-158214
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-158214
AL
Other
Enumeration date
07/20/2021
Last updated
09/30/2021
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