Green, Clayton

Green, Clayton is an individual health care provider with primary practice located at 1000 Cowles Clinc Way Ste A-400 , Greensboro GA 30642-5289. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Green, Clayton can be contacted via phone (706) 549-1663.

Contact Information

Primary practice address
1000 Cowles Clinc Way Ste A-400 Greensboro GA 30642-5289
Phone: (706) 549-1663
Fax: (706) 546-8792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA004062 Georgia

Profile Details

NPI number 1841818556
LBN Legal business name Green, Clayton
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2020
Last updated Mar 27th, 2023 - about last year

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 1841818556 NPPES
Other 14918249 CAQH NUMBER

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