Individual
DR. JENNIFER T MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 E STREET NW, WASHINGTON, DC 20522-0001
(808) 854-1974
Mailing address
2401 E STREET NW, WASHINGTON, DC 20522-0001
(808) 854-1974
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
52988
GA
Other
Enumeration date
09/20/2006
Last updated
09/16/2024
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