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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICKYLE MADDIX

Active

MICKYLE MADDIX is a Case Manager healthcare provider located in LOGANVILLE, Georgia. NPI 1013787696 is currently active in the NPPES registry. Verify at CMS.

Case Manager · LOGANVILLE, GA

Registration Details

NPI Number
1013787696
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2024 (2.6030534314933 yrs)
Last Updated
Jan 4, 2024

Practice Information

Address
822 KAITLYN DR
LOGANVILLE, GA, 300526929
Browse GA providers · Browse ZIP 30052
Phone
3476130990
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in LOGANVILLE, GA

Name Credential NPI
DORINE F SMITH BSN, RN 1134551625
MR. ANTHONY STEPHONE SMITH 1619374600
KAREEN MARIE GORDON 1700275237
CHRISSY LEACH LORT MSW 1639556681
MARLAINA GRANT WOODWARD BSED 1578114526
BRIANA MARIE MADDIX 1972250025
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.