Anita Gurley Maddox
Technician, Attendant Care Provider in Griffin, GA. Individual provider (NPI-1).
NPI number1730736745
StatusActive
Last updated in NPPESAug 23, 2019
Details
- NPI
- 1730736745
- Entity type
- Individual (NPI-1)
- Name
- Anita Gurley Maddox
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2019
- Last updated
- Aug 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
2723 Carver RdGriffin, GA 30224-7300
Phone 678-599-1554
Mailing address
2723 Carver RdGriffin, GA 30224-7300
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