STANFORD JAMES MADDOX

SNELLVILLE, GA
NPI1528553716
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Additional Taxonomies261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2018-06-29
Last Update Date2020-09-09
Business Address
STANFORD JAMES MADDOX
2250 OAK RD UNIT 815
SNELLVILLE, GA 30078-1905
Phone number: 770-899-6364
Mailing Address
STANFORD JAMES MADDOX
2250 OAK RD UNIT 815
SNELLVILLE, GA 30078-1905
Phone number: 770-899-6364
Similar providers in Snellville, GA
JAMILA DIXON
DEBORAH MCKINNIES-WESLEY
KASSONA WOODS
HAROLD JONES TAYLOR
KATONIA DUNAWAY