JEFF MADDOX

VICKSBURG, MS
NPI1487723946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT 1303)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
-- JEFF MADDOX PT
1901 MISSION 66 SUITE A
VICKSBURG, MS 39180-3711
Phone number: 601-638-4076
Mailing Address
-- JEFF MADDOX PT
PO BOX 822394
VICKSBURG, MS 39182-2394
Phone number: 601-638-4076
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