Provider Demographics
NPI:1174749865
Name:MADDOX, CHRISTINA ENTREKIN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ENTREKIN
Last Name:MADDOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:ELAINE
Other - Last Name:ENTREKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2006 BROOKWOOD MEDICAL CENTER DRIVE
Mailing Address - Street 2:STE 310
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209
Mailing Address - Country:US
Mailing Address - Phone:205-877-2121
Mailing Address - Fax:205-877-2569
Practice Address - Street 1:2006 BROOKWOOD MEDICAL CENTER DRIVE
Practice Address - Street 2:STE 310
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-877-2121
Practice Address - Fax:205-877-2569
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD34771174400000X
GA61123207V00000X
GARTP000471207V00000X
AL34771207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist