Mitzi Clayton M.D.

NPI 1477766715 - Family Medicine - 207Q00000X

NPI Details
NPI 1477766715
Gender Female
Enumeration Date 05/07/2007
Last Updated 10/13/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
211 FAIRVIEW RD
ELLENWOOD GA, 30294-2721, US
Phone (770) 507-4554
Fax (770) 507-6413
Business Location
211 FAIRVIEW RD
ELLENWOOD GA, 30294-2721, US
Phone (770) 507-4554
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 061408
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According to our database, Dr. Mitzi Clayton M.D. NPI is 1477766715, taxonomy code is 207Q00000X and license number is 061408, license state is located at Georgia. Mitzi Clayton M.D. physically located at 211 Fairview Rd, Ellenwood GA, 30294-2721. NPI Number Mitzi Clayton M.D. has the Individual type.

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1477766715 NPI number is provided on an as is basis without warranty of any kind. 1477766715 is maintained by the National Plan & Provider Enumeration System. The contents of Mitzi Clayton M.D. are for informational purposes only.