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Individual
DR. J. PAUL MADDOX
Active
Individual
DR. J. PAUL MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9249
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000636083A
—
GA
05
—
000636083B
—
GA
05
—
009956245
—
AL
05
—
121532
—
AL
01
—
511-08270
BCBS - HEALTHWEST
AL
01
—
515-21690
BCBS - RCC
AL
Enumeration date
08/02/2005
Last updated
11/20/2014
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