Clayton Mhddad in Jonesboro - Community/behavioral Health
Clayton Mhddad - NPI 1427204775
Clayton Mhddad is a Community/behavioral Health in Jonesboro, Georgia. Clayton Mhddad practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Clayton Mhddad is 1427204775. The last update date is 2008-08-18.
Clayton Mhddad's current location address is 112 Broad St, Jonesboro, Georgia. You can contact this provider via phone number 7704782280 and fax number 7704779772. The mailing address for Clayton Mhddad is 112 Broad St, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clayton Mhddad |
|---|---|
| Address | 112 Broad St, Jonesboro, Georgia |
| Phone Number | 7704782280 |
| Fax Number | 7704779772 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Benefield Jade |
| Telephone Number | 7704782280 |
NPI Number Detail
| NPI Number | 1427204775 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2008-08-18 |
Provider Mailing Address Detail
| Address | 112 Broad St |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302363563 |
| Phone Number | 7704782280 |
| Fax Number | 7704779772 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000606922AN | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Clayton Mhddad by the Centers for Medicare & Medicaid Services?
The Clayton Mhddad has been issued the NPI (National Provider Identifier) 1427204775. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Clayton Mhddad's facilities are geographically located?
The facilities of Clayton Mhddad are physically situated at the following location: 112 Broad St, Jonesboro, GA, 302363563.
What is Clayton Mhddad's area of expertise and its corresponding taxonomy classification?
The Clayton Mhddad's field of specialization is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1427204775 to Clayton Mhddad?
The Centers for Medicare & Medicaid Services assigned the 1427204775 to Clayton Mhddad on 2008-08-18.
When was the information regarding Clayton Mhddad, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clayton Mhddad, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-18.
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