Samuel Maddox, PH.D

NPI 1093904260 · on the registry since 2007 · sole proprietor

Practice

Address: 1777 Northeast Expy Ne
Suite 175
Atlanta, GA 30329
Phone: (678) 523-0969
Fax: (770) 788-7662
Organisation at this address: Meredith White Speech Pathology Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 103TC2200X
103TF0000X
103TM1800X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia