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Individual

DR. MADDOX ABRAHAM LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
2022038048
MO

Other

Enumeration date
07/31/2023
Last updated
07/31/2023
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