Provider Demographics
NPI:1639304355
Name:MAIDES, JOSEPH FRANKLIN JR (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANKLIN
Last Name:MAIDES
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 N 35TH ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3126
Mailing Address - Country:US
Mailing Address - Phone:252-222-5700
Mailing Address - Fax:252-222-5705
Practice Address - Street 1:623 N 35TH ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3126
Practice Address - Country:US
Practice Address - Phone:252-222-5700
Practice Address - Fax:252-649-1945
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036123466208D00000X
NC2016-00743208D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice