| Doctor Name: | MR. JOSEPH MELTON BIRD |
| NPI Number: | 1083613665 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | 0890001045 |
| Business Practice Address: | 300 East Hospital Road Room 13a-10 Fort Gordon, GA - 309055650 |
| Business Phone Number: | 7067876377 |
| Business Fax Number: | 7067871458 |
| Mailing Address: | 300 East Hospital Road, Room 13a-10 FORT GORDON |
| State: | GA |
| Postal Code: | 309055650 |
| Phone Number: | 7067876377 |
| Fax Number: | 7067871458 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 08/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0890001045 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |