MS. SANDRA MADDOX


Address: 178 Holland Ln Apt 106, Williston, VT 05495-7976
Phone: 3477943049

MS. SANDRA MADDOX (NPI# 1437766581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437766581
Entity Type Individual
Full Name MS. SANDRA MADDOX
Practice Address 178 Holland Ln Apt 106
Williston
VT 05495-7976
Practice Telephone 3477943049
Mailing Telephone 3477943049
Enumeration Date 2020-09-23
Last Update Date 2020-09-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 178 HOLLAND LN APT 106
City WILLISTON
State VT
Zip Code 05495-7976

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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Competitor

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City WILLISTON
Zip Code 05495

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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