Individual
MR. DAVIS H MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, RTR, RDMS,RVT
Contact information
Practice address
5 BONTWELL CIR, BLUFFTON, SC 29910-6538
(843) 301-2224
Mailing address
5 BONTWELL CIR, BLUFFTON, SC 29910-6538
(843) 301-2224
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
199483
SC
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
79645
SC
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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