MEDICARE: MR. JEFFREY RAYMOND HEHMAN LCSW

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	1041C0700X	Clinical Social Worker	3597C	AL

General Provider Information

NPI Number	:	1427233576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY RAYMOND HEHMAN LCSW

Provider Business Mailing Address
First Line	:	6600 VAN AALST BLVD
Second Line	:
City	:	FORT MOORE
State	:	GA
Zip	:	31905-2102
Country	:	US
Telephone Number	:	762-408-4073
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 VAN AALST BLVD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31905-2102
Country	:	US
Telephone Number	:	762-408-4073
Fax Number	:

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

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	11/29/2023

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