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Individual

DR. DONNA SCHWARTZ MADDOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15 MEDICAL PARK RD, SUITE 103, COLUMBIA, SC 29203-8003
(803) 434-4300
(803) 255-3420
Mailing address
130 HIGHWAY 252, ANDERSON, SC 29621-5054
(864) 965-9826

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
16574
SC
2084P0800X
Psychiatry Physician
16574
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165742
SC
Enumeration date
03/24/2006
Last updated
01/20/2017
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