NPI | 1780783415 |
---|---|
Other Name | CINDY M MADDOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA2896) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA2896) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2022-01-26 |