LEA NICHOLE MADDOX

CLINTON TOWNSHIP, MI
NPI1396276663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: AL  2863)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-27
Last Update Date2024-07-10
Business Address
LEA NICHOLE MADDOX D.O.
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038-3504
Phone number: 319-533-3200
Mailing Address
LEA NICHOLE MADDOX D.O.
1118 ROSS CLARK CIR STE 600
DOTHAN, AL 36301-3042
Phone number: 334-793-3900