Clayton Mhddad

NPI 1033307731 - Clinic/Center - 261QM0801X

NPI Details
NPI 1033307731
Enumeration Date 10/09/2007
Last Updated 11/08/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRY TERRY
Position EXCUTIVE DIRECTOR
Phone (770) 991-7420
Fax (770) 991-7429
Practice Location
6315 GARDEN WALK BLVD
RIVERDALE GA, 30274-2628, US
Phone (770) 991-7420
Fax (770) 991-7429
Business Location
157 SMITH ST
JONESBORO GA, 30236-3546, US
Phone (770) 478-2280
Fax (770) 477-9772
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Clayton Mhddad NPI is 1033307731, taxonomy code is 261QM0801X Clayton Mhddad physically located at 6315 Garden Walk Blvd, Riverdale GA, 30274-2628. NPI Number 1033115704 has the healthcare provider type.

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1033307731 NPI number is provided on an as is basis without warranty of any kind. 1033307731 is maintained by the National Plan & Provider Enumeration System. The contents of Clayton Mhddad are for informational purposes only.