Individual
BAILEY B R MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CLT, CPT-NASM
Contact information
Practice address
1898 CALHOUN ST STE 8, COLUMBIA, SC 29201-2650
(803) 200-1916
Mailing address
1898 CALHOUN ST STE 8, COLUMBIA, SC 29201-2650
(803) 200-1916
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10303
SC
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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