Clayton Minor Emergency Center

LBN: Clayton Medical Surgical
Clayton Minor Emergency Center is an health care organization with primary practice located at 6911 Tara Blvd # A , Jonesboro GA 30236-1503. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Clayton Medical Surgical can be contacted via phone (770) 477-8573, or through Marquez, Ramon R via phone (770) 477-8573.

Contact Information

Primary practice address
6911 Tara Blvd # A Jonesboro GA 30236-1503
Phone: (770) 477-8573
Fax: (770) 477-9045
Website:
Map and Directions
Authorized official contact:
Name: Marquez, Ramon R Doctor of Medicine (MD)
Phone: (770) 477-8573

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1558488163
LBN Legal business name Clayton Medical Surgical
DBA Doing business as Clayton Minor Emergency Center
Authorized official Marquez, Ramon R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558488163 NPPES
Georgia Other 290529 UNITED HEALTHCARE

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