Individual
PAUL TIMOTHY MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1348 WALTON WAY STE 5100, AUGUSTA, GA 30901-5108
(706) 724-8611
(706) 724-6202
Mailing address
PO BOX 925, AUGUSTA, GA 30903-0925
(706) 724-8611
(706) 724-6202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36015
SC
207RI0011X
Interventional Cardiology Physician
Primary
87892
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360157
—
SC
Enumeration date
06/21/2013
Last updated
03/21/2023
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