Individual
MR. LOUIS ALONZO MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
Mailing address
5999 SUMMER TRACE DR APT 308, MEMPHIS, TN 38134-6829
(901) 287-9829
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1718
TN
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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