Clayton Mhddad in Jonesboro - Adult Mental Health
Clayton Mhddad - NPI 1386890341
Clayton Mhddad is a Adult Mental Health in Jonesboro, Georgia. Clayton Mhddad practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Clayton Mhddad is 1386890341. The last update date is 2008-08-11.
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 | 1386890341 |
|---|---|
| Provider Enumeration Date | 2008-08-11 |
| Last Updated Date | 2008-08-11 |
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 | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000606922AG | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clayton Mhddad by the Centers for Medicare & Medicaid Services?
The Clayton Mhddad has been assigned the NPI (National Provider Identifier) 1386890341. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Clayton Mhddad?
The Clayton Mhddad is situated at 112 Broad St, in the city of Jonesboro, state of GA, with the zip code 302363563.
What is the area of specialization for Clayton Mhddad, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clayton Mhddad is Adult Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm0850X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386890341 to Clayton Mhddad?
The Clayton Mhddad received its 1386890341 assignment from the Centers for Medicare & Medicaid Services on 2008-08-11.
When was the information related to Clayton Mhddad most recently updated or refreshed?
The details pertaining to the Clayton Mhddad, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-11.
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