Maddox, J. Paul

Maddox, J. Paul is an individual health care provider with primary practice located at 1500 Ross Clark Cir , Dothan AL 36301-4754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Maddox, J. Paul can be contacted via phone (334) 793-2663.

Contact Information

Primary practice address
1500 Ross Clark Cir Dothan AL 36301-4754
Phone: (334) 793-2663
Fax: (334) 836-2247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 9249 Alabama

Profile Details

NPI number 1376544262
LBN Legal business name Maddox, J. Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Nov 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376544262 NPPES
Georgia MEDICAID 000636083A
Georgia MEDICAID 121532
Georgia MEDICAID 000636083B
Georgia MEDICAID 009956245
Georgia Other 515-21690
Georgia Other 511-08270

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