Jennifer Benson Grizzard in Villa Rica - Professional
Jennifer Benson Grizzard - NPI 1336344456
Jennifer Benson Grizzard is a Professional in Villa Rica, Georgia. Jennifer Benson Grizzard practices all healthcare services and medical treatments related to Professional. The NPI Number for Jennifer Benson Grizzard is 1336344456. The last update date is 2015-06-09.
Jennifer Benson Grizzard's current location address is 514 W Bankhead Hwy, Villa Rica, Georgia. You can contact this provider via phone number 6789413868 and fax number 6789413217. The mailing address for Jennifer Benson Grizzard is 514 W Bankhead Hwy, Villa Rica, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Benson Grizzard |
|---|---|
| Address | 514 W Bankhead Hwy, Villa Rica, Georgia |
| Phone Number | 6789413868 |
| Fax Number | 6789413217 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1336344456 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2015-06-09 |
Provider Mailing Address Detail
| Address | 514 W Bankhead Hwy |
|---|---|
| City | Villa Rica |
| State | Georgia (GA) |
| Post Code | 301801736 |
| Phone Number | 6789413868 |
| Fax Number | 6789413217 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC004238 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 839556035B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jennifer Benson Grizzard by the Centers for Medicare & Medicaid Services?
The Jennifer Benson Grizzard has been issued the NPI (National Provider Identifier) 1336344456, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jennifer Benson Grizzard?
The Jennifer Benson Grizzard is physically situated at 514 W Bankhead Hwy, in the city of Villa Rica, state of GA, with the postal code 301801736.
What is the Jennifer Benson Grizzard's specialty and taxonomy code?
The Jennifer Benson Grizzard's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336344456 to Jennifer Benson Grizzard?
The Jennifer Benson Grizzard received its 1336344456 assignment from the Centers for Medicare & Medicaid Services on 2007-06-19.
As of what date were the details pertaining to Jennifer Benson Grizzard last refreshed?
The information related to the Jennifer Benson Grizzard, including its address, specialty, and other relevant details, was last updated on 2015-06-09.
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