National Provider Identifier Database

JIMMY H MADDOX, RN/MSN/FNP-BC – NPI #1487989885
Family


Contact Information

JIMMY H MADDOX, RN/MSN/FNP-BC
117 KITE ROAD
SWAINSBORO, GA30401
Phone: 478-289-1265
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for JIMMY H MADDOX

NPI Number 1487989885
Credentials RN/MSN/FNP-BC
Entity Individual
Enumeration date 10/02/2009
Last updated 03/06/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: RN166580
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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