Individual
MAYA MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 ROSA L PARKS BLVD, NASHVILLE, TN 37208-2520
(615) 244-3730
Mailing address
545 GREAT CIRCLE RD APT 224, NASHVILLE, TN 37228-1681
(662) 336-6224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45388
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
07/27/2021
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