Maddux, Paul Timothy

Maddux, Paul Timothy is an individual health care provider with primary practice located at 1348 Walton Way Ste 5100 , Augusta GA 30901-5108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Maddux, Paul Timothy can be contacted via phone (706) 724-8611.

Contact Information

Primary practice address
1348 Walton Way Ste 5100 Augusta GA 30901-5108
Fax: (706) 724-6202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36015 South Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 87892 Georgia

Profile Details

NPI number 1063851129
LBN Legal business name Maddux, Paul Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2013
Last updated Mar 21st, 2023 - about last year

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 1063851129 NPPES
South Carolina MEDICAID 360157

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