Jacquelyn Gannaway Short in Dublin - Clinical
Jacquelyn Gannaway Short - NPI 1538254644
Jacquelyn Gannaway Short is a Clinical in Dublin, Georgia. Jacquelyn Gannaway Short practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacquelyn Gannaway Short is 1538254644. The last update date is 2007-07-08.
Jacquelyn Gannaway Short's current location address is 209 Earlwood Dr., Dublin, Georgia. You can contact this provider via phone number 4782721210 and fax number 4782772823. The mailing address for Jacquelyn Gannaway Short is 209 Earlwood Dr., Dublin, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Gannaway Short |
|---|---|
| Address | 209 Earlwood Dr., Dublin, Georgia |
| Phone Number | 4782721210 |
| Fax Number | 4782772823 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1538254644 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 209 Earlwood Dr. |
|---|---|
| City | Dublin |
| State | Georgia (GA) |
| Post Code | 31021 |
| Phone Number | 4782721210 |
| Fax Number | 4782772823 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW001238 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Jacquelyn Gannaway Short by the Centers for Medicare & Medicaid Services?
The Jacquelyn Gannaway Short has been assigned the NPI (National Provider Identifier) 1538254644 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacquelyn Gannaway Short?
The Jacquelyn Gannaway Short is physically situated at 209 Earlwood Dr., in the city of Dublin, state of GA, with the postal code 31021.
What is Jacquelyn Gannaway Short's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacquelyn Gannaway Short is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Jacquelyn Gannaway Short receive its 1538254644?
The Jacquelyn Gannaway Short was issued its 1538254644 on 2006-10-04, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jacquelyn Gannaway Short most recently updated?
The details pertaining to the Jacquelyn Gannaway Short, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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