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NPI Code Detail

MEDICARE: DR. HELEN R. MADDUX M.D.

MEDICARE:  DR. HELEN R. MADDUX  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician200200406NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11307UOTHERBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31754524OTHERUNITED HEALTHCARE
43839793001OTHERCIGNA
5B8164OTHERMEDCOST
611050OTHERPARTNERS

General Provider Information

NPI Number : 1760441687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HELEN R. MADDUX M.D.
Provider Business Mailing Address
First Line : 200 QUEENS RD
Second Line : SUITE 400
City : CHARLOTTE
State : NC
Zip : 28204-3252
Country : US
Telephone Number : 704-333-7376
Fax Number : 704-333-3397
Provider Business Practice Location Address
First Line : 201 E GROVER ST
Second Line :
City : SHELBY
State : NC
Zip : 28150-3917
Country : US
Telephone Number : 980-487-3144
Fax Number : 980-487-3615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 12/19/2012

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Directions to “ DR. HELEN R. MADDUX M.D.” Practice Location

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