Clayton Mhddad

NPI #1861700973 in Jonesboro, Georgia

Provider Information

NPI Number: 1861700973
Entity Type: Organization
Organization Name: Clayton Mhddad
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Sep 23, 2010
Last Updated: Sep 23, 2010

Practice Location

Address: 1585 PINTAIL RD
City: Jonesboro
State: Georgia
ZIP Code: 30238-6641
Phone: (770) 478-2280

Authorized Official

Name: MR. TERRY COLE
Title: CEO
Phone: (770) 478-2280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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