Maddox, Lisa M
Maddox, Lisa M is an sole proprietor health care provider with primary practice located at 1 Freedom Way , Augusta GA 30904-6258. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Maddox, Lisa M can be contacted via phone (706) 733-0188.Contact Information
Primary practice address
1 Freedom Way
Augusta GA 30904-6258
Phone: (706) 733-0188
Fax: (706) 481-6798
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD039558 | District of Columbia |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD039558 | District of Columbia |
Profile Details
NPI number | 1497921142 |
---|---|
LBN Legal business name | Maddox, Lisa M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 2nd, 2008 |
Last updated | Jul 18th, 2014 - about 10 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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