Clay, Dwayne Lee

Clay, Dwayne Lee is an sole proprietor health care provider with primary practice located at 6010 Lakeside Commons Dr Suite A, Macon GA 31210-5779. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Clay, Dwayne Lee can be contacted via phone (478) 475-9220.

Contact Information

Primary practice address
6010 Lakeside Commons Dr Suite A Macon GA 31210-5779
Phone: (478) 475-9220
Fax: (478) 475-9201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 042215 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 042215 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 042215 Georgia

Profile Details

NPI number 1003829433
LBN Legal business name Clay, Dwayne Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Dec 1st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003829433 NPPES
Georgia MEDICAID 00738493H

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