# MADDOX PARKWAY INPATIENT SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144569914
- **Authorized official:** GREGORY J. BYRNE M.D. (PRESIDENT)
- **Authorized official phone:** (800) 507-8874

## Contact information

- **Practice address:** 707 OLD DALTON ELLIJAY RD, CHATSWORTH, GA 30705-2029
- **Practice address phone:** (706) 695-4564
- **Practice address fax:** (706) 517-3705
- **Mailing address:** 18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
- **Mailing address phone:** (800) 507-8874
- **Mailing address fax:** (727) 536-2896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | — | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2013
- **Last updated:** 07/09/2013