Provider Demographics
NPI:1598131252
Name:THOMASON, MADISON (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:
Last Name:THOMASON
Suffix:
Gender:
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-1503
Mailing Address - Country:US
Mailing Address - Phone:423-266-3636
Mailing Address - Fax:423-266-3633
Practice Address - Street 1:102 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-1503
Practice Address - Country:US
Practice Address - Phone:423-266-3636
Practice Address - Fax:423-266-3633
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43170300000X
GA339170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS