Maddox, Marilyn

Maddox, Marilyn is an individual health care provider with primary practice located at 380 Dahlonega St Ste 100 , Cumming GA 30040-8219. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Maddox, Marilyn can be contacted via phone (678) 771-8468.

Contact Information

Primary practice address
380 Dahlonega St Ste 100 Cumming GA 30040-8219
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X G0078 Georgia

Profile Details

NPI number 1821681016
LBN Legal business name Maddox, Marilyn
Credentials GCADCI
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2021
Last updated Feb 19th, 2021 - about 5 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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