Renee R Maddux
Physical Therapist Physical Therapist - Pediatrics
1055 Thomas Rd
Canton
, Georgia 30115-6702
Renee R Maddux
Physical Therapist Physical Therapist - Pediatrics
1055 Thomas Rd
Canton
, Georgia 30115-6702
(678) 277-9966
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Renee R Maddux
- 325 Waverly Hall Cir
- Roswell, GA
- Zip : 30075-2110
- Fax : (678) 277-9966
- Phone : (678) 277-9966
Second Address
- Renee R Maddux
- 1055 Thomas Rd
- Canton, GA
- Zip : 30115-6702
- Fax : (678) 736-0724
- Phone : (678) 736-0724
Reviews
FAQs
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Where is Renee R Maddux ’s practice located?
What is Renee R Maddux ’s gender?
Is Renee R Maddux a sole practitioner?
Is Renee R Maddux accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 6052 | GA |
| Y | 2251P0200X | Physical Therapist - Pediatrics | 6052 | GA |
National Provider Identifier
| NPI | 1063572808 |
|---|---|
| Provider Name | Renee R Maddux |
| First Address | Roswell, GA 30075-2110 |
| Second Address | Canton, GA 30115-6702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2006 |
| Last Update Date | 01/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000885585A | (05) | GA |
| 10040447 | AMERIGROUP (01) | GA |
| 321993 | WELLCARE (01) | GA |
| 6052 | PHYSICAL THERAPY LICENSE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.