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NPI Code Detail

MEDICARE: MADISON ROSE HARAWAY M.D.

MEDICARE: MADISON ROSE HARAWAY M.D.
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 : 1801778790
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON ROSE HARAWAY M.D.
Provider Business Mailing Address
First Line : 1905 CANYON RD
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-1723
Country : US
Telephone Number : 479-831-3332
Fax Number :
Provider Business Practice Location Address
First Line : 1600 7TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1711
Country : US
Telephone Number : 205-638-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2025
Last Update Date : 06/06/2026

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