Individual
PAUL TIMOTHY MADDUX
Active
Individual
PAUL TIMOTHY MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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