Debra M Maddox

NPI 1194950436 - Family Medicine - 207Q00000X

NPI Details
NPI 1194950436
Gender Female
Enumeration Date 05/15/2009
Last Updated 06/29/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3300 RIVERMONT AVE
LYNCHBURG VA, 24503-2030, US
Phone (434) 200-4651
Fax
Business Location
1204 FENWICK DR
LYNCHBURG VA, 24502-2112, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0024168298
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According to our database, Debra M Maddox NPI is 1194950436, taxonomy code is 207Q00000X and license number is 0024168298, license state is located at Virginia. Debra M Maddox physically located at 3300 Rivermont Ave, Lynchburg VA, 24503-2030. NPI Number Debra M Maddox has the Individual type.

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1194950436 NPI number is provided on an as is basis without warranty of any kind. 1194950436 is maintained by the National Plan & Provider Enumeration System. The contents of Debra M Maddox are for informational purposes only.