Organization
HEALTH SOURCE MADISON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MATHIAS (PRESIDENT)
(256) 874-2643
Entity
Organization
Contact information
Practice address
525 HUGHES RD STE G, MADISON, AL 35758-1164
(256) 874-2643
Mailing address
525 HUGHES RD STE G, MADISON, AL 35758-1164
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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