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NPI Code Detail

MEDICARE: MADISON BROOKE WOODRUFF

MEDICARE: MADISON BROOKE WOODRUFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1861322232
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON BROOKE WOODRUFF
Provider Business Mailing Address
First Line : 1919 7TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-2005
Country : US
Telephone Number : 205-934-3387
Fax Number :
Provider Business Practice Location Address
First Line : 1919 7TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-2005
Country : US
Telephone Number : 205-934-3387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ MADISON BROOKE WOODRUFF ” Practice Location

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