Andrew Maddox, | |
9152 Highway 278 Ne, Covington, GA 30014-7010 | |
(678) 342-9339 | |
Not Available |
Full Name | Andrew Maddox |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 9152 Highway 278 Ne, Covington, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164081220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT014006 (Georgia) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881142750 PECOS PAC ID: 5193036432 Enrollment ID: O20150916001644 |
Mailing Address | Practice Location Address |
---|---|
Andrew Maddox, 5257 Hearthstone St, Stone Mountain, GA 30083-3605 Ph: (678) 713-6095 | Andrew Maddox, 9152 Highway 278 Ne, Covington, GA 30014-7010 Ph: (678) 342-9339 |
Carley E Eshleman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4220 Gauntt Rd, Covington, GA 30014 Phone: 762-499-2925 | |
Jeffrey Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8230 Hazelbrand Rd Ne, Suite A, Covington, GA 30014 Phone: 770-788-7034 | |
Abbanna Health & Rehab Services Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4124 Highway 278 Ne, Covington, GA 30014 Phone: 770-786-5000 | |
Keion Yearwood, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10050 Eagle Dr, Covington, GA 30014 Phone: 678-607-9810 | |
Jynelle R Jarvis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11172 Highway 142 N, Covington, GA 30014 Phone: 678-712-3692 Fax: 678-712-3693 | |
Louis Mascari, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11172 Highway 142 N, Covington, GA 30014 Phone: 678-712-3692 Fax: 678-712-3693 |