DANNIE LAINE MADDOX

NORTH LITTLE ROCK, AR
NPI1124039078
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AR  P01046)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
MR. DANNIE LAINE MADDOX RNP
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-257-3185
Mailing Address
MR. DANNIE LAINE MADDOX RNP
4624 CRESTLINE DR
NORTH LITTLE ROCK, AR 72116-7441
Phone number: 501-912-4383
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