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Clayton Mhddad
Mental Health Clinic/Center (Including Community Mental Health Center) in Forest Park, Georgia
NPI 1629266473

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 Forest Park, GA. The NPI Number for Clayton Mhddad is 1629266473 and holds a License No. (Georgia).

The current practice location address for Clayton Mhddad is 4513 Ernest Dr, Forest Park, GA and can be reached out via phone at 404-363-2063.

Location: 4513 Ernest Dr, Forest Park, GA, 30236-3546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629266473
Provider Name
Clayton Mhddad
Credential
Provider Entity Type
Organization
Address
4513 Ernest Dr, Forest Park, GA, 30236-3546
Phone Number
404-363-2063
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
00604205L 05 GA
institution
Provider Business Practice Location Address Details
Address
4513 Ernest Dr
City
Forest Park
State
Georgia
Zip
30297-3566
Phone Number
404-363-2063
Fax Number
person
Provider Business Mailing Address Details
Address
4513 Ernest Dr
City
Forest Park
State
Georgia
Zip
30297-3566
Phone Number
404-363-2063
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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