Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STANFORD JAMES MADDOX
Active Sole ProprietorSTANFORD JAMES MADDOX is a Contractor healthcare provider located in SNELLVILLE, Georgia. NPI 1528553716 is currently active in the NPPES registry. Verify at CMS.
Contractor · SNELLVILLE, GA
Registration Details
- NPI Number
- 1528553716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2018 (8.0922069749945 yrs)
- Last Updated
- Sep 9, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
2250 OAK RD UNIT 815SNELLVILLE, GA, 300781905Browse GA providers · Browse ZIP 30078
- Phone
- 7708996364
- Primary Specialty
-
Contractor
171W00000X
- Additional Specialty
- Physical Therapy Clinic
Other Contractor Providers in SNELLVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MR. HAROLD JONES TAYLOR JR. | CSA | 1144539800 |
| MRS. KASSONA WOODS | — | 1720345838 |
| DEBORAH MCKINNIES-WESLEY | — | 1962892745 |
| KATONIA DUNAWAY | — | 1255087086 |
| JAMILA DIXON | CNA | 1174306419 |
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.