Individual
BARRY H MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 E GREENVILLE ST, SUITE 3000, ANDERSON, SC 29621-1580
(864) 224-1055
(864) 224-3773
Mailing address
2000 E GREENVILLE ST, SUITE 3000, ANDERSON, SC 29621-1580
(864) 224-1055
(864) 224-3773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11543
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115431
—
SC
05
—
545763886A
—
GA
Enumeration date
03/15/2006
Last updated
08/16/2010
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