Individual
MS. ADRIANNA P. MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
57 N SOMERVILLE ST STE 104, MEMPHIS, TN 38104-2182
(615) 628-7544
Mailing address
3495 LAKEVIEW RD, MEMPHIS, TN 38116-3915
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2781
TN
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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