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Nathaneal Maddox
NPI 1609366400 · on the registry since 2018 · sole proprietor
Practice
- Address
- 301 Country Club Dr
Stockbridge, GA 30281 - Phone
- (678) 948-7476
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-16
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