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Organization

MADDOX PARKWAY INPATIENT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY J. BYRNE M.D. (PRESIDENT)
(800) 507-8874
Entity
Organization

Contact information

Practice address
707 OLD DALTON ELLIJAY RD, CHATSWORTH, GA 30705-2029
(706) 695-4564
(706) 517-3705
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
(800) 507-8874
(727) 536-2896

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
02/13/2013
Last updated
07/09/2013
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