Maddux, Cheryl Harmon

Maddux, Cheryl Harmon is an sole proprietor health care provider with primary practice located at 1606 Physicians Dr Suite 104, Wilmington NC 28401-7361. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maddux, Cheryl Harmon can be contacted via phone (910) 343-6890.

Contact Information

Primary practice address
1606 Physicians Dr Suite 104 Wilmington NC 28401-7361
Phone: (910) 343-6890
Fax: (910) 332-1233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004823 North Carolina

Profile Details

NPI number 1699768788
LBN Legal business name Maddux, Cheryl Harmon
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Jul 20th, 2012 - about 14 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 1699768788 NPPES
Other B0318 MEDCOST
Other 0238M MEDCOST
MEDICAID 6005107 MEDCOST

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