Maddox, Lisa M

Maddox, Lisa M is an sole proprietor health care provider with primary practice located at 1 Freedom Way , Augusta GA 30904-6258. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Maddox, Lisa M can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way Augusta GA 30904-6258
Phone: (706) 733-0188
Fax: (706) 481-6798
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD039558 District of Columbia
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD039558 District of Columbia

Profile Details

NPI number 1497921142
LBN Legal business name Maddox, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2008
Last updated Jul 18th, 2014 - about 12 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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