| Clayton Family Practice | |
|
900 S Lombard St Clayton NC 27520-2737 | |
| (919) 553-6060 | |
| (919) 553-4747 |
| Full Name | Clayton Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 900 S Lombard St, Clayton, North Carolina |
| Authorized Official Name and Position | Lisa M Bookert (PRESIDENT) |
| Authorized Official Contact | 9195536060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Family Practice 900 S Lombard St Clayton NC 27520-2737 Ph: (919) 553-6060 | Clayton Family Practice 900 S Lombard St Clayton NC 27520-2737 Ph: (919) 553-6060 |
| NPI Number | 1124323803 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 01/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124323803 | NPI | - | NPPES |
| 8916757 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 30780 (North Carolina) | Primary |
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