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Individual
MELANIE BETH MADDOX
Active
Individual
MELANIE BETH MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-106572
AL
363L00000X
Nurse Practitioner
RN190286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63-0825248
—
AL
Enumeration date
08/28/2020
Last updated
05/20/2024
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