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Clayton State University
Family Nurse Practitioner in Morrow, Georgia
NPI 1659758985

Clayton State University is a Family Nurse Practitioner based in Morrow, GA and is specialized in Family. Clayton State University practices in Morrow, GA. The NPI Number for Clayton State University is 1659758985 and holds a License No. (Georgia).

The current practice location address for Clayton State University is 5809 Northlake Drive, Morrow, GA and can be reached out via phone at 678-466-5590 and via fax at 678-466-4999.

Location: 5809 Northlake Drive, Morrow, GA, 30260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659758985
Provider Name
Clayton State University
Credential
Provider Entity Type
Organization
Address
5809 Northlake Drive, Morrow, GA, 30260
Phone Number
678-466-5590
Fax Number
678-466-4999
Provider Enumeration Date
05/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5809 Northlake Drive
City
Morrow
State
Georgia
Zip
30260
Phone Number
678-466-5590
Fax Number
678-466-4999
person
Provider Business Mailing Address Details
Address
5809 Northlake Drive
City
Morrow
State
Georgia
Zip
30260
Phone Number
678-466-5590
Fax Number
678-466-4999
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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