Individual
JOEL MADDOX II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
896 HIGHWAY 81 E, MCDONOUGH, GA 30252-2914
(770) 954-9323
Mailing address
896 HWY 81 E, MCDONOUGH, GA 30252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12754
GA
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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