Maddox, Gregory H
Maddox, Gregory H is an individual health care provider with primary practice located at 101 Cabarrus Ave E Ste 200 , Concord NC 28025-3781. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Maddox, Gregory H can be contacted via phone (888) 849-7379.Contact Information
Primary practice address
101 Cabarrus Ave E Ste 200
Concord NC 28025-3781
Phone: (888) 849-7379
Fax: (855) 857-7333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3581 | Kentucky |
Profile Details
| NPI number | 1245369248 |
|---|---|
| LBN Legal business name | Maddox, Gregory H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245369248 | NPPES |
| Kentucky | MEDICAID | 1790731081 |
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