Maddox, Barry H

Maddox, Barry H is an sole proprietor health care provider with primary practice located at 2000 E Greenville St Suite 3000, Anderson SC 29621-1580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maddox, Barry H can be contacted via phone (864) 224-1055.

Contact Information

Primary practice address
2000 E Greenville St Suite 3000 Anderson SC 29621-1580
Fax: (864) 224-3773
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11543 South Carolina

Profile Details

NPI number 1619946415
LBN Legal business name Maddox, Barry H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2006
Last updated Aug 16th, 2010 - about 16 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 1619946415 NPPES
Georgia MEDICAID 545763886A
Georgia MEDICAID 115431

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