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
Phone: (803) 664-4007
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
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