Organization
MADISON PRIMARY CARE LLC
Active
Other names
MADISON PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEEL BODLA M.D. (PHYSICIAN)
(626) 644-7722
Entity
Organization
Contact information
Practice address
400 SUN TEMPLE DR, MADISON, AL 35758-5924
(256) 774-5524
(256) 774-5523
Mailing address
400 SUN TEMPLE DR, MADISON, AL 35758-5924
(256) 774-5524
(256) 774-5523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AL
Enumeration date
03/24/2011
Last updated
08/01/2023
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