Search › West Virginia › 104100000X
Miranda Maddox
NPI 1437902590 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4234 Grandview Rd
Beaver, WV 25813 - Phone
- (304) 573-0163
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia