Provider Demographics
NPI:1467546648
Name:MADDOX, JOHN F III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:MADDOX
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:3025 HAMAKER CT STE 200
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2237
Practice Address - Country:US
Practice Address - Phone:703-698-8060
Practice Address - Fax:703-876-4691
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-11-28
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Provider Licenses
StateLicense IDTaxonomies
VA0101037033207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101037033OtherSTATE LICENSE
VAC89233Medicare UPIN