Maddox, Phyllicia

Maddox, Phyllicia is an sole proprietor health care provider with primary practice located at 214 Ponce De Leon Ave Ne Suite 1, Atlanta GA 30308-1910. She recently has only one registered license in Other Service Providers / Homeopath, which is considered as her primary health care specialty. Maddox, Phyllicia can be contacted via phone (404) 987-6596.

Contact Information

Primary practice address
214 Ponce De Leon Ave Ne Suite 1 Atlanta GA 30308-1910
Phone: (404) 987-6596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Homeopath 175L00000X MT004039 Georgia

Profile Details

NPI number 1215307731
LBN Legal business name Maddox, Phyllicia
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2015
Last updated Sep 26th, 2015 - about 9 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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