NPI 1215307731

Phyllicia Maddox, MT

Practitioner Homeopath Atlanta, GA

Practice location

Address: 214 Ponce de Leon Ave NE Suite 1, Atlanta, GA 30308-1910
Phone: (404) 987-6596

Registered specialties

Homeopath Primary

Other Service Providers Taxonomy 175L00000X Licence MT004039 (GA)

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Registry record

NPI: 1215307731
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2015
Record last updated: 26 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.