# DR. PATRICK TATE MADDOX

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609971605
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 2012-01668 | NC | Yes |
| 208600000X | Surgery Physician | 1576 | NH | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 09/09/2024