Clayton Outpatient Surgical Center in Jonesboro - Ambulatory Surgical
Clayton Outpatient Surgical Center - NPI 1538166012
Clayton Outpatient Surgical Center is a Ambulatory Surgical in Jonesboro, Georgia. Clayton Outpatient Surgical Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Clayton Outpatient Surgical Center is 1538166012. The last update date is 2010-08-12.
Clayton Outpatient Surgical Center'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 Outpatient Surgical Center is 6911 Tara Blvd, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clayton Outpatient Surgical Center |
|---|---|
| Address | 6911 Tara Blvd, Jonesboro, Georgia |
| Phone Number | 7704779535 |
| Fax Number | 7704717826 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Kalish Stanley |
| Credentials | DPM |
| Telephone Number | 7704779535 |
NPI Number Detail
| NPI Number | 1538166012 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2010-08-12 |
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 | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 031-070 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00649833A | GA | -- | |
| 490002632 | GA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clayton Outpatient Surgical Center by the Centers for Medicare & Medicaid Services?
The Clayton Outpatient Surgical Center has been issued the NPI (National Provider Identifier) 1538166012 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Clayton Outpatient Surgical Center is physically located?
The Clayton Outpatient Surgical Center is physically situated at the following address: 6911 Tara Blvd, Jonesboro, GA, 302361503.
What is the Clayton Outpatient Surgical Center's specialty and taxonomy code?
The Clayton Outpatient Surgical Center's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538166012 to Clayton Outpatient Surgical Center?
The Clayton Outpatient Surgical Center received its 1538166012 assignment from the Centers for Medicare & Medicaid Services on 2005-06-30.
When was the information regarding Clayton Outpatient Surgical Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clayton Outpatient Surgical Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-08-12.
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