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MRS. PAULINE JAMES MADDOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
499 FIELDS FERRY DR NE, CALHOUN, GA 30701-5900
(954) 439-0114
Mailing address
499 FIELDS FERRY DR NE, CALHOUN, GA 30701-5900
(954) 439-0114

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN229785
GA

Other

Enumeration date
11/29/2016
Last updated
11/29/2016
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