Mr Clay Dexter Gill, LPC is a
Counselor - Professional based in Patterson, Georgia. Mr Clay Dexter Gill is licensed to practice in Georgia (license number LPC004088) and his current practice location is
5920 Reese St, Patterson, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 282-0992.
NPI number for Mr Clay Dexter Gill is 1720257132 and his current mailing address is 5920 Reese St, Po Box 151, Patterson, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720257132.
Healthcare Provider's Profile
| Full Name | Mr Clay Dexter Gill |
|---|
| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 5920 Reese St, Patterson, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720257132
- Provider Enumeration Date: 02/29/2008
- Last Update Date: 02/29/2008
Medical Identifiers
Medical identifiers for Mr Clay Dexter Gill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720257132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC004088 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clay Dexter Gill is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Clay Dexter Gill, LPC
5920 Reese St, Po Box 151,
Patterson, GA 31557-5131
Ph: (912) 282-0992 | Mr Clay Dexter Gill, LPC
5920 Reese St,
Patterson, GA 31557-5131
Ph: (912) 282-0992 |
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