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1396574422
TRENTON MADDOX
LOGANVILLE, GA
NPI
1396574422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT017347)
Enumeration Date
2024-07-29
Last Update Date
2024-09-03
Business Address
TRENTON MADDOX PT, DPT
3440 HIGHWAY 81
LOGANVILLE, GA 30052-9112
Phone number: 770-554-5009
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Mailing Address
TRENTON MADDOX PT, DPT
1765 OLD WEST BROAD ST BLDG 2-200
ATHENS, GA 30606-2887
Phone number: 706-549-1663
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