Provider Demographics
NPI:1740481951
Name:SALADA-LIGON, MARILYN M (MD)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:M
Last Name:SALADA-LIGON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1839
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-5410
Mailing Address - Country:US
Mailing Address - Phone:256-325-3800
Mailing Address - Fax:
Practice Address - Street 1:101 WESTOVER CIRCLE
Practice Address - Street 2:SUITE B
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-4900
Practice Address - Country:US
Practice Address - Phone:256-325-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA94744207Q00000X, 207QH0002X
SC93595207QH0002X
ALMD29167207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine