Individual
MR. BRANDON ANDREW MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
413 PORTWEST TER, HENRICO, VA 23238-5564
(804) 543-3856
Mailing address
413 PORTWEST TER, HENRICO, VA 23238-5564
(804) 543-3856
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0001232582
VA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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