Individual
MR. MICHAEL DAWSON MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
951 NEW SALEM HWY, MURFREESBORO, TN 37129
(615) 907-0123
(615) 907-0133
Mailing address
951 NEW SALEM HWY, MURFREESBORO, TN 37129
(615) 907-0123
(615) 907-0133
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
NCCPA CERT NUMBER
TN
363AM0700X
Medical Physician Assistant
TN573
TN
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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