Individual
DR. JAMES G. MADISON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
38TH STREET BLDG 38717, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Mailing address
38TH STREET BLDG 38717, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3866
AL
1223G0001X
General Practice Dentistry
Primary
3866
AL
Other
Enumeration date
08/21/2006
Last updated
08/08/2012
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