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1891208773
TERRY BENTON MADDOX
HOOVER, AL
NPI
1891208773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-132264)
Enumeration Date
2017-11-14
Last Update Date
2019-03-19
Business Address
Mr. TERRY BENTON MADDOX NP
3000 SOUTHLAKE PARK
HOOVER, AL 35244-3293
Phone number: 205-987-0724
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Mailing Address
Mr. TERRY BENTON MADDOX NP
3000 SOUTHLAKE PARK STE 100
HOOVER, AL 35244-3608
Phone number: 205-987-0724
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