Provider Demographics
NPI:1457479891
Name:MADDUX, HUGH NELSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:NELSON
Last Name:MADDUX
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-1201
Mailing Address - Country:US
Mailing Address - Phone:770-251-3666
Mailing Address - Fax:770-251-2719
Practice Address - Street 1:32 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-1201
Practice Address - Country:US
Practice Address - Phone:770-251-3666
Practice Address - Fax:770-251-2719
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA86931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice