Maddux, Holt Benjamin

Maddux, Holt Benjamin is an individual health care provider with primary practice located at 1325 Wolf Park Dr Suite 102, Germantown TN 38138-1742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Maddux, Holt Benjamin can be contacted via phone (901) 252-3400.

Contact Information

Primary practice address
1325 Wolf Park Dr Suite 102 Germantown TN 38138-1742
Phone: (901) 252-3400
Fax: (901) 682-0047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 11107 Tennessee
Allopathic & Osteopathic Physicians / Urology 208800000X 16103 Mississippi

Profile Details

NPI number 1275590606
LBN Legal business name Maddux, Holt Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275590606 NPPES
Other 211159 SOUTHERN HEALTH SERVICES
Other 115806 SOUTHERN HEALTH SERVICES
Other 12940170 SOUTHERN HEALTH SERVICES
Other 12940170 SOUTHERN HEALTH SERVICES
MEDICAID 3007327 SOUTHERN HEALTH SERVICES
Other 85552 SOUTHERN HEALTH SERVICES
Other 0063189 SOUTHERN HEALTH SERVICES
Other 02110025300 SOUTHERN HEALTH SERVICES
Other 4563452 SOUTHERN HEALTH SERVICES
Other 2596090 SOUTHERN HEALTH SERVICES
Other 731661 SOUTHERN HEALTH SERVICES

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