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1255744124
MARK MADDOX
DURHAM, NC
NPI
1255744124
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Other Name
N/A N/A
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA OT016080)
Enumeration Date
2014-06-08
Last Update Date
2020-06-12
Business Address
MARK MADDOX
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-0411
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Mailing Address
MARK MADDOX
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-0411
Copy
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