Clayton Mhddad in Jonesboro - Adult Mental Health
Clayton Mhddad - NPI 1992984264
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 1992984264. The last update date is 2008-06-10.
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 | 1992984264 |
|---|---|
| Provider Enumeration Date | 2007-11-02 |
| Last Updated Date | 2008-06-10 |
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 |
|---|---|---|---|
| 00607076D | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clayton Mhddad by the Centers for Medicare & Medicaid Services?
The Clayton Mhddad has been issued the NPI (National Provider Identifier) 1992984264, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Clayton Mhddad is physically located?
The Clayton Mhddad is physically situated at the following address: 112 Broad St, Jonesboro, GA, 302363563.
What is Clayton Mhddad's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clayton Mhddad is Adult Mental Health, and the corresponding taxonomy classification code for this specialized field is 261Qm0850X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992984264 to Clayton Mhddad?
The Centers for Medicare & Medicaid Services assigned the 1992984264 to Clayton Mhddad on 2007-11-02.
When was the information pertaining to Clayton Mhddad most recently updated or revised?
The details related to Clayton Mhddad, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-10.