Maddox, Stanford James

Maddox, Stanford James is an sole proprietor health care provider with primary practice located at 2250 Oak Rd Unit 815 , Snellville GA 30078-1905. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Ambulatory Health Care Facilities / Physical Therapy. Other Service Providers / Contractor is his primary health care specialty. Maddox, Stanford James can be contacted via phone (770) 899-6364.

Contact Information

Primary practice address
2250 Oak Rd Unit 815 Snellville GA 30078-1905
Phone: (770) 899-6364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X Georgia
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1528553716
LBN Legal business name Maddox, Stanford James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2018
Last updated Sep 9th, 2020 - about 6 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 1528553716 NPPES
Georgia Other 455255557 BUSINESS INFO

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