STANFORD MADDOX

Contractor

Active Individual
NPI: 1528553716

Practice Address

2250 OAK RD UNIT 815
Snellville, GA 30078

Phone: (770) 899-6364

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -
Clinic/Center - Physical Therapy 261QP2000X No -

Frequently Asked Questions

NPI 1528553716 is the National Provider Identifier for STANFORD MADDOX, a Contractor provider located in Snellville, GA. This NPI was enumerated on June 29, 2018.
STANFORD MADDOX practices at 2250 OAK RD UNIT 815, Snellville, GA 30078.

Quick Facts

NPI
1528553716
Type
Individual
Enumerated
Jun 29, 2018
Last Updated
Sep 9, 2020

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