Organization
SOULCARE MEDICAL CONSULTANT LLC
Active
Other names
Soulcare Med & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRINCESS R HUMPHREY MD (OWNER)
(256) 772-1766
Entity
Organization
Contact information
Practice address
235 PORTAL LN STE B, MADISON, AL 35758-5827
(256) 772-1766
(256) 772-1980
Mailing address
235 PORTAL LN STE B, MADISON, AL 35758-5827
(256) 772-1766
(256) 772-1980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
04/20/2008
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