Provider Demographics
NPI:1013927201
Name:MAXEY, JOY (MEDICAL DOCTOR)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:
Last Name:MAXEY
Suffix:
Gender:F
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3091 MAPLE DR NE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2610
Mailing Address - Country:US
Mailing Address - Phone:404-261-2666
Mailing Address - Fax:404-261-2669
Practice Address - Street 1:3091 MAPLE DR NE
Practice Address - Street 2:SUITE 315
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2610
Practice Address - Country:US
Practice Address - Phone:404-261-2666
Practice Address - Fax:404-261-2669
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA027731208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics