institution
Clayton Outpatient Surgical Center
Ambulatory Surgical Clinic/Center in Jonesboro, Georgia
NPI 1538166012

Clayton Outpatient Surgical Center is an Ambulatory Surgical Clinic/Center based in Jonesboro, GA and is specialized in Ambulatory Surgical. Clayton Outpatient Surgical Center practices in Jonesboro, GA. The NPI Number for Clayton Outpatient Surgical Center is 1538166012 and holds a License No. 031-070 (Georgia).

The current practice location address for Clayton Outpatient Surgical Center is 6911 Tara Blvd, Jonesboro, GA and can be reached out via phone at 770-477-9535 and via fax at 770-471-7826.

Location: 6911 Tara Blvd, Jonesboro, GA, 30236-1503
institution
Provider Profile Details
NPI Number
1538166012
Provider Name
Clayton Outpatient Surgical Center
Credential
Provider Entity Type
Organization
Address
6911 Tara Blvd, Jonesboro, GA, 30236-1503
Phone Number
770-477-9535
Fax Number
770-471-7826
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00649833A 05 GA
490002632 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
6911 Tara Blvd
City
State
Zip
30236-1503
Phone Number
770-477-9535
Fax Number
770-471-7826
person
Provider Business Mailing Address Details
Address
6911 Tara Blvd
City
State
Zip
30236-1503
Phone Number
770-477-9535
Fax Number
770-471-7826
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
031-070 (Georgia)
Definition
Definition to come...
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