Healthcare Provider Details

I. General information

NPI: 1568043214
Provider Name (Legal Business Name): MADISON TAYLOR COLEMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 PRINCETON AVENUE SW PROFESSIONAL OFFICE BUILDING 3, SUITE 200-E
BIRMINGHAM AL
35211
US

IV. Provider business mailing address

901 LEIGHTON AVE STE 307
ANNISTON AL
36207-5721
US

V. Phone/Fax

Practice location:
  • Phone: 205-783-3098
  • Fax:
Mailing address:
  • Phone: 256-235-5064
  • Fax: 256-235-5945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD.46080
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: