Organization
SOUTHEASTERN MEDICAL GROUP, LLC
Active
Other names
Madison Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEE BRUNO (ADMINISTRATOR)
(256) 722-0555
Entity
Organization
Contact information
Practice address
1230 SLAUGHTER RD, SUITE C, MADISON, AL 35758-5900
(256) 722-0555
(256) 830-5135
Mailing address
1230 SLAUGHTER RD, SUITE C, MADISON, AL 35758-5900
(256) 722-0555
(256) 830-5135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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