Tarneshia S Maddox, is a
Counselor - Pastoral based in Sparta, Georgia. Tarneshia S Maddox is licensed to practice in * (Not Available) (license number ) and her current practice location is
1482 Underwood Rd, Sparta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(478) 234-9283.
NPI number for Tarneshia S Maddox is 1679138267 and her current mailing address is 1482 Underwood Rd, Sparta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679138267.
Healthcare Provider's Profile
| Full Name | Tarneshia S Maddox |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Pastoral |
|---|
| Location | 1482 Underwood Rd, Sparta, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679138267
- Provider Enumeration Date: 05/08/2019
- Last Update Date: 06/11/2019
Medical Identifiers
Medical identifiers for Tarneshia S Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679138267 | NPI | - | NPPES |
| 05 | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tarneshia S Maddox is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tarneshia S Maddox,
1482 Underwood Rd,
Sparta, GA 31087-9612
Ph: (478) 234-9283 | Tarneshia S Maddox,
1482 Underwood Rd,
Sparta, GA 31087-9612
Ph: (478) 234-9283 |
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