Search › Georgia › 175L00000X
Phyllicia Maddox, M.T
NPI 1215307731 · on the registry since 2015 · sole proprietor
Practice
- Address
- 214 Ponce De Leon Ave Ne
Suite 1
Atlanta, GA 30308 - Phone
- (404) 987-6596
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 175L00000X
175L00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia