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Individual

MR. TERRY BENTON MADDOX III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3000 SOUTHLAKE PARK, HOOVER, AL 35244-3293
(205) 987-0724
Mailing address
3000 SOUTHLAKE PARK STE 100, HOOVER, AL 35244-3608
(205) 987-0724
(205) 987-0725

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-132264
AL

Other

Enumeration date
11/14/2017
Last updated
03/19/2019
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