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1164081220
ANDREW MADDOX
COVINGTON, GA
NPI
1164081220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT014006)
Enumeration Date
2019-06-11
Last Update Date
2022-10-15
Business Address
ANDREW MADDOX
9152 HIGHWAY 278 NE
COVINGTON, GA 30014-7010
Phone number: 678-342-9339
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Mailing Address
ANDREW MADDOX
5257 HEARTHSTONE ST
STONE MOUNTAIN, GA 30083-3605
Phone number: 678-713-6095
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