Individual
MADISON ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1626 HIGHWAY 30 E, OXFORD, MS 38655-2319
(662) 371-1326
Mailing address
1626 HIGHWAY 30 E, OXFORD, MS 38655-2319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00899
MS
Other
Enumeration date
05/20/2025
Last updated
09/02/2025
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