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Stanford Maddox
NPI 1528553716 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2250 Oak Rd Unit 815
Snellville, GA 30078 - Phone
- (770) 899-6364
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Also registered as
- 261QP2000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-09
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 Georgia