MEDICARE: JAMIE MESSINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356707848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE MESSINA

Provider Business Mailing Address
First Line	:	5710 OGEECHEE RD
Second Line	:	SUITE 200, #280
City	:	SAVANNAH
State	:	GA
Zip	:	31405-9515
Country	:	US
Telephone Number	:	706-587-1449
Fax Number	:

Provider Business Practice Location Address
First Line	:	5710 OGEECHEE RD
Second Line	:	SUITE 200, #280
City	:	SAVANNAH
State	:	GA
Zip	:	31405-9515
Country	:	US
Telephone Number	:	706-587-1449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2016
Last Update Date	:	01/13/2016

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Directions to “ JAMIE MESSINA ” Practice Location

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