Samuel Jermaine Maddox in Atlanta - Intellectual And Developmental Disabilities
Samuel Jermaine Maddox - NPI 1093904260
Samuel Jermaine Maddox is a Intellectual And Developmental Disabilities in Atlanta, Georgia. Samuel Jermaine Maddox practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Samuel Jermaine Maddox is 1093904260. The last update date is 2007-10-23.
Samuel Jermaine Maddox's current location address is 1777 Northeast Expy Ne, Atlanta, Georgia. You can contact this provider via phone number 6785230969 and fax number 7707887662. The mailing address for Samuel Jermaine Maddox is 1777 Northeast Expy Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Jermaine Maddox |
|---|---|
| Address | 1777 Northeast Expy Ne, Atlanta, Georgia |
| Phone Number | 6785230969 |
| Fax Number | 7707887662 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1093904260 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | 1777 Northeast Expy Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303292480 |
| Phone Number | 6785230969 |
| Fax Number | 7707887662 |
Provider's Primary Taxonomy Detail
| Speciality | Intellectual And Developmental Disabilities |
|---|---|
| Taxonomy | 103Tm1800X |
| Licence No | PSY002983 |
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Definition: A psychologist who works with people who have cognitive impairments and developmental disabilities. |
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Post Comment/ Review Below
What is the Samuel Jermaine Maddox's unique identification number?
The Samuel Jermaine Maddox has been assigned the NPI (National Provider Identifier) Number 1093904260 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Samuel Jermaine Maddox?
The Samuel Jermaine Maddox is situated at 1777 Northeast Expy Ne, in the city of Atlanta, state of GA, with the zip code 303292480.
What is the area of specialization for Samuel Jermaine Maddox, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Samuel Jermaine Maddox is Intellectual And Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 103Tm1800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093904260 to Samuel Jermaine Maddox?
The Centers for Medicare & Medicaid Services assigned the 1093904260 to Samuel Jermaine Maddox on 2007-10-23.
As of what date was the information pertaining to Samuel Jermaine Maddox, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Samuel Jermaine Maddox, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-23.