Maddox, Donald Jerome

Maddox, Donald Jerome is an individual health care provider with primary practice located at 1325 Spring St , Greenwood SC 29646-3860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Maddox, Donald Jerome can be contacted via phone (864) 725-4799.

Contact Information

Primary practice address
1325 Spring St Greenwood SC 29646-3860
Phone: (864) 725-4799
Fax: (864) 725-4707
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21312 South Carolina

Profile Details

NPI number 1093769002
LBN Legal business name Maddox, Donald Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 22nd, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093769002 NPPES
South Carolina MEDICAID G41458

Popular Providers