Individual
MR. MADISON MULKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1556 SAINT ROSE AVE, BATON ROUGE, LA 70808-1060
(225) 803-9573
Mailing address
PO BOX 14532, BATON ROUGE, LA 70898-4532
(225) 803-9573
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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