Individual
DEBRA M MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 5TH ST, LYNCHBURG, VA 24504-2848
(434) 200-3366
(434) 847-2521
Mailing address
800 5TH ST, LYNCHBURG, VA 24504-2848
(434) 200-3366
(855) 634-9302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024168298
VA
363LF0000X
Family Nurse Practitioner
Primary
0024168298
VA
Other
Enumeration date
05/15/2009
Last updated
02/16/2021
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