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Individual
MR. RALPH MICHAEL MADDOCKS
Active
Individual
MR. RALPH MICHAEL MADDOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT MS OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5576
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078WC
BCBS NC
NC
01
—
3075129
AETNA HMO
NC
01
—
4872760
UHC ACN MPN
NC
01
—
5658651
AETNA PPO
NC
01
—
6698919
GHI
NC
01
—
836265
UHC ACN MPN
NC
Enumeration date
07/15/2006
Last updated
01/07/2013
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