Individual
WILLIAM MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 W MAIN ST STE 100, CHRISTIANSBURG, VA 24073-3055
(540) 382-1230
Mailing address
140 REHOBOTH LN NE, FLOYD, VA 24091-1130
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
49D2075691
VA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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