Clayton Mhddad in Jonesboro - Developmental Disabilities
Clayton Mhddad - NPI 1104082866
Clayton Mhddad is a Developmental Disabilities in Jonesboro, Georgia. Clayton Mhddad practices all healthcare services and medical treatments related to Developmental Disabilities. The NPI Number for Clayton Mhddad is 1104082866. The last update date is 2008-08-01.
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 | 1104082866 |
|---|---|
| Provider Enumeration Date | 2008-08-01 |
| Last Updated Date | 2008-08-01 |
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 | Developmental Disabilities |
|---|---|
| Taxonomy | 261Qd1600X |
|
Definition: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many ins |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000606922AM | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clayton Mhddad?
The Clayton Mhddad has been issued the NPI (National Provider Identifier) 1104082866 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Clayton Mhddad?
The Clayton Mhddad is physically situated at 112 Broad St, in the city of Jonesboro, state of GA, with the postal code 302363563.
What is Clayton Mhddad's area of expertise and its corresponding taxonomy classification?
The Clayton Mhddad's field of specialization is Developmental Disabilities, and it falls under the taxonomy code 261Qd1600X, which categorizes healthcare providers based on their areas of practice.
When did the Clayton Mhddad receive its 1104082866?
The Clayton Mhddad was issued its 1104082866 on 2008-08-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Clayton Mhddad most recently updated or revised?
The information pertaining to Clayton Mhddad, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-01.
NPI Number: 1336142389
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