Maddox, Mary H

Maddox, Mary H is an individual health care provider with primary practice located at 1600 7Th Ave S , Birmingham AL 35233-1711. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Maddox, Mary H can be contacted via phone (205) 939-9587.

Contact Information

Primary practice address
1600 7Th Ave S Birmingham AL 35233-1711
Fax: (205) 975-4623
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.27820 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.27820 Alabama

Profile Details

NPI number 1053529289
LBN Legal business name Maddox, Mary H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2007
Last updated Jan 24th, 2011 - about 11 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 1053529289 NPPES
Alabama MEDICAID 102380
Alabama MEDICAID 102407
Alabama Other 1053529289
Alabama Other 515-90435
Alabama Other 515-91033

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