Mickyle Maddix
Case Manager/Care Coordinator in Loganville, GA. Individual provider (NPI-1).
NPI number1013787696
StatusActive
Last updated in NPPESJan 4, 2024
Details
- NPI
- 1013787696
- Entity type
- Individual (NPI-1)
- Name
- Mickyle Maddix
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2024
- Certification date
- Jan 4, 2024
- Last updated
- Jan 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
822 Kaitlyn DrLoganville, GA 30052-6929
Phone 347-613-0990
Mailing address
822 Kaitlyn DrLoganville, GA 30052-6929
Phone 347-613-0990
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Other Case Manager/Care Coordinator providers in Loganville, GA
- Shari BlakeNPI 1063318491
- Kareen Marie GordonNPI 1700275237
- Briana Marie MaddixNPI 1972250025
- Anthony Stephone SmithNPI 1619374600
- Dorine F Smith, BSN, RNNPI 1134551625
- Marlaina Grant Woodward, BSEDNPI 1578114526
All 7 Case Manager/Care Coordinator providers in Loganville · All 962 providers in Loganville
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