Organization
C DEATON MADDOX MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C DEATON MADDOX MD (PRESIDENT)
(828) 253-2865
Entity
Organization
Contact information
Practice address
417 BILTMORE AVE, 4-B DOCTOR'S PARK, ASHEVILLE, NC 28801-4543
(828) 253-2865
(828) 253-9694
Mailing address
417 BILTMORE AVE, 4-B DOCTOR'S PARK, ASHEVILLE, NC 28801-4543
(828) 253-2865
(828) 253-9694
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53700
BCBS
NC
05
—
8953700
—
NC
Enumeration date
08/18/2006
Last updated
05/22/2012
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