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Clayton Mhddad
Mental Health Clinic/Center (Including Community Mental Health Center) in Jonesboro, Georgia
NPI 1609064450

Clayton Mhddad is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Jonesboro, GA and is specialized in Mental Health (Including Community Mental Health Center). Clayton Mhddad practices in Jonesboro, GA. The NPI Number for Clayton Mhddad is 1609064450 and holds a License No. (Georgia).

The current practice location address for Clayton Mhddad is 9307 Forest Knoll Dr, Jonesboro, GA and can be reached out via phone at 770-473-6124.

Location: 9307 Forest Knoll Dr, Jonesboro, GA, 30236-3563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609064450
Provider Name
Clayton Mhddad
Credential
Provider Entity Type
Organization
Address
9307 Forest Knoll Dr, Jonesboro, GA, 30236-3563
Phone Number
770-473-6124
Fax Number
Provider Enumeration Date
10/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00606922C 05 GA
institution
Provider Business Practice Location Address Details
Address
9307 Forest Knoll Dr
City
Jonesboro
State
Georgia
Zip
30238-5701
Phone Number
770-473-6124
Fax Number
person
Provider Business Mailing Address Details
Address
9307 Forest Knoll Dr
City
Jonesboro
State
Georgia
Zip
30238-5701
Phone Number
770-473-6124
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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