Individual
AMANDA MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1362 N GATEWAY AVE, ROCKWOOD, TN 37854-4108
(865) 354-1220
Mailing address
1362 N GATEWAY AVE, ROCKWOOD, TN 37854-4108
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000215042
TN
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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