Clayton Internal Medicine Pc in Clayton - Medical Specialty
Clayton Internal Medicine Pc - NPI 1366658833
Clayton Internal Medicine Pc is a Medical Specialty in Clayton, North Carolina. Clayton Internal Medicine Pc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Clayton Internal Medicine Pc is 1366658833. The last update date is 2013-01-22.
Clayton Internal Medicine Pc's current location address is Po Box 997, Clayton, North Carolina. You can contact this provider via phone number 9195506336 and fax number 9195500180. The mailing address for Clayton Internal Medicine Pc is Po Box 997, Clayton, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clayton Internal Medicine Pc |
|---|---|
| Address | Po Box 997, Clayton, North Carolina |
| Phone Number | 9195506336 |
| Fax Number | 9195500180 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Khusayem Mazen |
| Credentials | MD |
| Telephone Number | 9195506336 |
NPI Number Detail
| NPI Number | 1366658833 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2013-01-22 |
Provider Mailing Address Detail
| Address | Po Box 997 |
|---|---|
| City | Clayton |
| State | North Carolina (NC) |
| Post Code | 275280997 |
| Phone Number | 9195506336 |
| Fax Number | 9195500180 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 9900898 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89126XV | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clayton Internal Medicine Pc by the Centers for Medicare & Medicaid Services?
The Clayton Internal Medicine Pc has been assigned the NPI (National Provider Identifier) 1366658833. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Clayton Internal Medicine Pc?
The Clayton Internal Medicine Pc is physically situated at Po Box 997, in the city of Clayton, state of NC, with the postal code 275280997.
What is Clayton Internal Medicine Pc's area of expertise and its corresponding taxonomy classification?
The Clayton Internal Medicine Pc's field of specialization is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their areas of practice.
When did Clayton Internal Medicine Pc receive its 1366658833 assignment?
The Clayton Internal Medicine Pc was assigned its 1366658833 on 2007-05-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Clayton Internal Medicine Pc most recently updated?
The details pertaining to the Clayton Internal Medicine Pc, including its address, specialty, and other relevant information, were last refreshed on 2013-01-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC