Provider Demographics
NPI:1760441687
Name:MADDUX, HELEN R (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:R
Last Name:MADDUX
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 QUEENS RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-3252
Mailing Address - Country:US
Mailing Address - Phone:704-333-7376
Mailing Address - Fax:704-333-3397
Practice Address - Street 1:201 E GROVER ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3917
Practice Address - Country:US
Practice Address - Phone:980-487-3144
Practice Address - Fax:980-487-3615
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2002004062085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1307UOtherBLUE CROSS
NC891307UMedicaid
1754524OtherUNITED HEALTHCARE
3839793001OtherCIGNA
B8164OtherMEDCOST
11050OtherPARTNERS
NC891307UMedicaid
1307UOtherBLUE CROSS
NC2000543Medicare ID - Type Unspecified