Maddox, James

Maddox, James is an individual health care provider with primary practice located at 154 Cude Ln , Madison TN 37115-2202. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Maddox, James can be contacted via phone (615) 865-6268.

Contact Information

Primary practice address
154 Cude Ln Madison TN 37115-2202
Phone: (615) 865-6268
Fax: (615) 868-7378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 40789 Tennessee

Profile Details

NPI number 1407935075
LBN Legal business name Maddox, James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated May 1st, 2009 - about 15 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 1407935075 NPPES
Tennessee MEDICAID 3607702

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