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Individual

BILL FRANKLIN MADDOX JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
867 HIGHWAY 1 S, GREENVILLE, MS 38701-5963
(662) 378-0283
(662) 332-3316
Mailing address
867 HIGHWAY 1 S, GREENVILLE, MS 38701-5963
(662) 378-0283
(662) 332-3316

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11843
MS

Other

Enumeration date
04/23/2007
Last updated
01/05/2010
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