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Contact Information

MICHAEL D MADDOX, PA C
951 NEW SALEM HWY
MURFREESBORO, TN37129
 Phone: 615-907-0123
 Fax: 615-907-0133
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL D MADDOX · (Male)

NPI Number 1134137169
Status Active
Credentials PA C
Entity Individual
Enumeration date 08/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # NCCPA CERT NUMBER
  • TN License # TN573
Hospital affiliation(s) Not Available
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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