Individual provider · Type 1 NPI

Maude Breaux

Contractor · Fayetteville, GA

NPI number 1174499073 Active

Practice location

154 Rainbow Way Unit 392
Fayetteville, GA 30214-3994

Mailing address

9396 Forest Knoll Dr
Jonesboro, GA 30238-5722

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1174499073

Maude Breaux's National Provider Identifier is 1174499073, issued on Oct 16, 2025. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Fayetteville, GA. The record was last updated on Oct 21, 2025.