Healthcare Provider Details

I. General information

NPI: 1740481951
Provider Name (Legal Business Name): MARILYN M. SALADA-LIGON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WESTOVER CIRCLE SUITE B
MADISON AL
35758-4900
US

IV. Provider business mailing address

PO BOX 1839
MADISON AL
35758-5410
US

V. Phone/Fax

Practice location:
  • Phone: 256-325-3800
  • Fax:
Mailing address:
  • Phone: 256-325-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number94744
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number94744
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number93595
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD29167
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: