Shannon Rae Dunavan in Fort Gordon - Clinical
Shannon Rae Dunavan - NPI 1346436524
Shannon Rae Dunavan is a Clinical in Fort Gordon, Georgia. Shannon Rae Dunavan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shannon Rae Dunavan is 1346436524. The last update date is 2013-09-10.
Shannon Rae Dunavan's current location address is 300 E Hospital Rd, Fort Gordon, Georgia. You can contact this provider via phone number 7067879054 and fax number 7067878991. The mailing address for Shannon Rae Dunavan is 300 E Hospital Rd, Fort Gordon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Rae Dunavan |
|---|---|
| Address | 300 E Hospital Rd, Fort Gordon, Georgia |
| Phone Number | 7067879054 |
| Fax Number | 7067878991 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1346436524 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2013-09-10 |
Provider Mailing Address Detail
| Address | 300 E Hospital Rd |
|---|---|
| City | Fort Gordon |
| State | Georgia (GA) |
| Post Code | 309055650 |
| Phone Number | 7067879054 |
| Fax Number | 7067878991 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003777 |
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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 identification code assigned to Shannon Rae Dunavan by the Centers for Medicare & Medicaid Services?
The Shannon Rae Dunavan has been issued the NPI (National Provider Identifier) 1346436524, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shannon Rae Dunavan is physically located?
The Shannon Rae Dunavan is situated at the following address: 300 E Hospital Rd, Fort Gordon, GA 309055650.
What is Shannon Rae Dunavan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shannon Rae Dunavan is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Shannon Rae Dunavan receive its 1346436524?
The Shannon Rae Dunavan was issued its 1346436524 on 2007-09-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Shannon Rae Dunavan's details last updated?
The information pertaining to the Shannon Rae Dunavan, including its address, specialty, and other details, was most recently updated on 2013-09-10.
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