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Individual

DR. JOHN F. MADDOX III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3025 HAMAKER CT STE 200, FAIRFAX, VA 22031-2237
(703) 698-8060
(703) 876-4691
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101037033
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101037033
STATE LICENSE
VA
Enumeration date
10/03/2006
Last updated
11/28/2023
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