Organization
ROBERT J MADDEN MD PC
Active
Organization
ROBERT J MADDEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J MADDEN MD (PRESIDENT)
(706) 295-7320
Entity
Organization
Contact information
Practice address
14 JOHN MADDOX DR NW, ROME, GA 30165-1450
(706) 295-7320
(706) 295-7319
Mailing address
14 JOHN MADDOX DR NW, ROME, GA 30165-1450
(706) 295-7320
(706) 295-7319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022825
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85000273G
—
GA
Enumeration date
05/15/2007
Last updated
10/19/2010
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