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NPI Code Detail

MEDICARE: JASMINE NAHEED M.D.

MEDICARE: JASMINE NAHEED M.D.
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
12084P0800XPsychiatry Physician056399GA

Other Identifiers

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

General Provider Information

NPI Number : 1568474948
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE NAHEED M.D.
Provider Business Mailing Address
First Line : PO BOX 110
Second Line :
City : LAGRANGE
State : GA
Zip : 30241-0002
Country : US
Telephone Number : 706-837-0045
Fax Number : 706-837-0035
Provider Business Practice Location Address
First Line : 104 HARWELL AVE
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-3132
Country : US
Telephone Number : 706-837-0045
Fax Number : 706-837-0035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 07/31/2024

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