| Clayton Healthcare, P.c. | |
|
3139 Bay View Dr Jonesboro GA 30236-4139 | |
| (404) 695-3989 | |
| (770) 991-5012 |
| Full Name | Clayton Healthcare, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3139 Bay View Dr, Jonesboro, Georgia |
| Authorized Official Name and Position | Ramesh Reddy (PHYSICIAN) |
| Authorized Official Contact | 7704787828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Healthcare, P.c. 3139 Bay View Dr Jonesboro GA 30236-4139 Ph: (770) 478-7828 | Clayton Healthcare, P.c. 3139 Bay View Dr Jonesboro GA 30236-4139 Ph: (404) 695-3989 |
| NPI Number | 1265463277 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/16/2019 |
| Medicare PECOS PAC ID | 3870589617 |
|---|---|
| Medicare Enrollment ID | O20040426000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265463277 | NPI | - | NPPES |
| 085002918G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 035982 (Georgia) | Primary |
| Provider Name | Ramesh G Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184643678 PECOS PAC ID: 4284614223 Enrollment ID: I20101014000539 |
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