Madison Mednorth Primary Care

NPI #1659838456 in Madison, Alabama

Provider Information

NPI Number: 1659838456
Entity Type: Organization
Organization Name: Madison Mednorth Primary Care
Primary Specialty: Family Medicine
Enumeration Date: Feb 27, 2019
Last Updated: Feb 27, 2019

Practice Location

Address: 101 WESTOVER CIR
City: Madison
State: Alabama
ZIP Code: 35758-4909
Phone: (256) 278-9731

Authorized Official

Name: DR. ROMUALDO ENRIQUE DIAZ, MD
Title: PRESIDENT
Phone: (256) 278-9731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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