Clayton Mobile Diagnostic Clinic in Jonesboro - Podiatrist
Clayton Mobile Diagnostic Clinic - NPI 1396742870
Clayton Mobile Diagnostic Clinic is a Podiatrist in Jonesboro, Georgia. Clayton Mobile Diagnostic Clinic practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Clayton Mobile Diagnostic Clinic is 1396742870. The last update date is 2022-07-21.
Clayton Mobile Diagnostic Clinic's current location address is 6911 Tara Blvd, Jonesboro, Georgia. You can contact this provider via phone number 7704779535 and fax number 7704717826. The mailing address for Clayton Mobile Diagnostic Clinic is 6911 Tara Blvd, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clayton Mobile Diagnostic Clinic |
|---|---|
| Address | 6911 Tara Blvd, Jonesboro, Georgia |
| Phone Number | 7704779535 |
| Fax Number | 7704717826 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kalish Stanley |
| Credentials | DPM |
| Telephone Number | 7704779535 |
NPI Number Detail
| NPI Number | 1396742870 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 6911 Tara Blvd |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302361503 |
| Phone Number | 7704779535 |
| Fax Number | 7704717826 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique identifier code issued to Clayton Mobile Diagnostic Clinic by the Centers for Medicare & Medicaid Services?
The Clayton Mobile Diagnostic Clinic has been assigned the NPI (National Provider Identifier) 1396742870. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Clayton Mobile Diagnostic Clinic's facilities are geographically located?
The facilities of Clayton Mobile Diagnostic Clinic are physically situated at the following location: 6911 Tara Blvd, Jonesboro, GA, 302361503.
What is Clayton Mobile Diagnostic Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clayton Mobile Diagnostic Clinic's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396742870 to Clayton Mobile Diagnostic Clinic?
The Clayton Mobile Diagnostic Clinic received its 1396742870 assignment from the Centers for Medicare & Medicaid Services on 2005-06-30.
When was the information pertaining to Clayton Mobile Diagnostic Clinic most recently updated or revised?
The details related to Clayton Mobile Diagnostic Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
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