Jaudon-Hall, Angela
Jaudon-Hall, Angela is an sole proprietor health care provider with primary practice located at 113 Tortoise Drive , Warner Robins GA 31088. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jaudon-Hall, Angela can be contacted via phone (478) 955-1410.Contact Information
Primary practice address
113 Tortoise Drive
Warner Robins GA 31088
Phone: (478) 955-1410
Fax: (478) 745-9040
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1134285281 |
---|---|
LBN Legal business name | Jaudon-Hall, Angela |
Credentials | SERVICE COORDINATOR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 30th, 2006 |
Last updated | Jan 28th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134285281 | NPPES |
Georgia | MEDICAID | 000888104B |
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