Most Relevant Information
Provider Data
| NPI Number: | 1003574062 |
| Provider Name: | JADA GOLDEN |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/07/2021 |
| Last Updated: | 12/07/2021 |
Provider Practice Location
UWA STATION 14
LIVINGSTON
AL
35470
Practice Location Phone/Fax
| Phone: | 2567353261 |
| Fax: |
Provider Mailing Location
380 COUNTY ROAD 1490
CULLMAN
AL
350581014
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |