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NPI Profile for JIMMY H MADDOX in SWAINSBORO, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1487989885 |
|
| Status | Active | |
| Credentials | RN/MSN/FNP-BC | |
| Entity | Individual | |
| Enumeration date | 10/02/2009 | |
| Last updated | 03/06/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JIMMY H MADDOX
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JIMMY H MADDOX, RN/MSN/FNP-BC