MEDICARE: MR. GEORGE NIXON SHULER JR. MSW, 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	8527-C	AR

General Provider Information

NPI Number	:	1790710044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GEORGE NIXON SHULER JR. MSW, LCSW

Provider Business Mailing Address
First Line	:	2707 BROWNS LN
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401-7213
Country	:	US
Telephone Number	:	870-972-4939
Fax Number	:	870-972-4911

Provider Business Practice Location Address
First Line	:	801 NEWMAN DR
Second Line	:
City	:	HELENA
State	:	AR
Zip	:	72342-8950
Country	:	US
Telephone Number	:	870-338-3900
Fax Number	:	870-338-7798

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/21/2022

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