Addison, Beaufort

Addison, Beaufort is an sole proprietor health care provider with primary practice located at 5576 Oak Bend Pl , Lithonia GA 30058-3302. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Addison, Beaufort can be contacted via phone (803) 664-4007.

Contact Information

Primary practice address
5576 Oak Bend Pl Lithonia GA 30058-3302
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1205413481
LBN Legal business name Addison, Beaufort
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2021
Last updated Mar 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers