Mattox, Robert James
Mattox, Robert James is an sole proprietor health care provider with primary practice located at 82 William Way , Ellijay GA 30540-7231. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Mattox, Robert James can be contacted via phone (770) 990-9197.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1489 | Georgia |
Profile Details
| NPI number | 1487324877 |
|---|---|
| LBN Legal business name | Mattox, Robert James |
| Credentials | ED.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2021 |
| Last updated | Sep 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487324877 | NPPES |
| Georgia | Other | 1489 | LICENSED PROFESSIONAL COUNSELOR GA |
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