Mickyle Maddix
NPI #1013787696 in Loganville, Georgia
Provider Information
- NPI Number
- 1013787696
- Entity Type
- Individual
- Name
- Mickyle Maddix
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 4, 2024
- Last Updated
- Jan 4, 2024
Practice Location
- Address
- 822 KAITLYN DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-6929
- Phone
- (347) 613-0990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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