NPI 1174499073
Maude Breaux
Practice location
- Address
- 154 Rainbow Way Unit 392, Fayetteville, GA 30214-3994
- Phone
- (678) 770-0758
- Mailing address
- 9396 Forest Knoll Dr, Jonesboro, GA 30238-5722
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1174499073
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Oct 2025
- Record last updated
- 21 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.