Individual
KRISTA LAMKIN MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 W WHEELER PKWY STE A, AUGUSTA, GA 30909-6625
(706) 721-3484
Mailing address
2920 KINGS VIEW DR, AUGUSTA, GA 30909-9406
(147) 825-1031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008059
GA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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