Mikelle A Maddox
Medical Specialty
Professional ID
- NPI: 1770578726
- PECOS ID: 1254482078
- Enrollment ID: I20090707000520
- Credential(MD, DO, DPM):
- Medical School: Uniformed Services University Of The Health Sciences
- Medical School Graduation Year: 1997
Hospital Service
- Hospital CCN1: 010083
- Business Name (LBN)1: South Baldwin Regional Medical Center
Medical Practices
- Organization Name: Foley Clinic Corp.
- Group Practice ID assigned by PECOS: 5193741759
- Number of Group Practice member: 42
Location
- Address1: 1613 N Mckenzie St
- Address2:
- City: Foley
- State: Alabama
- Zip Code: 36535
- Phone Number: (251)949-3400
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):