MEDICARE: JANET MUSSER GRANSKI

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	171M00000X	Case Manager/Care Coordinator
2	1041C0700X	Clinical Social Worker	CSW004144	GA

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	:	1548325483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET MUSSER GRANSKI

Provider Business Mailing Address
First Line	:	110 NORTH BEND COURT
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30238
Country	:	US
Telephone Number	:	770-841-0137
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 NORTH BEND COURT
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30238
Country	:	US
Telephone Number	:	770-841-0137
Fax Number	:

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

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	01/04/2013

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