Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stanford James Maddox

Individual provider Contractor · NPI 1528553716

Stanford James Maddox is a Contractor in Snellville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2250 Oak Rd Unit 815
Snellville, GA 30078-1905
Phone: (770) 899-6364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X (GA)
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1528553716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 29, 2018
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020
Mailing address2250 Oak Rd Unit 815, Snellville, GA 30078-1905

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