Individual
JAMES MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
154 CUDE LN, MADISON, TN 37115-2202
(615) 865-6268
(615) 868-7378
Mailing address
PO BOX 488, MADISON, TN 37116-0488
(615) 865-6268
(615) 868-7378
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
40789
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3607702
—
TN
Enumeration date
11/03/2006
Last updated
05/01/2009
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