| Robert Douglas Clayton, Md. Pc. | |
|
4060 Johns Creek Pkwy Bldg F Suwanee GA 30024-1230 | |
| (678) 205-0525 | |
| (770) 604-9316 |
| Full Name | Robert Douglas Clayton, Md. Pc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4060 Johns Creek Pkwy, Suwanee, Georgia |
| Authorized Official Name and Position | Robert Douglas Clayton (OWNER) |
| Authorized Official Contact | 6782050525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Douglas Clayton, Md. Pc. 4060 Johns Creek Pkwy Bldg F Suwanee GA 30024-1230 Ph: (678) 205-0525 | Robert Douglas Clayton, Md. Pc. 4060 Johns Creek Pkwy Bldg F Suwanee GA 30024-1230 Ph: (678) 205-0525 |
| NPI Number | 1174788079 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 12/02/2009 |
| Medicare PECOS PAC ID | 1951479120 |
|---|---|
| Medicare Enrollment ID | O20081001000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174788079 | NPI | - | NPPES |
| 000517338C | Medicaid | GA | |
| 511G700888 | Other | GA | MEDICARE |
| 9210293 | Other | GA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 035836 (Georgia) | Primary |
| Provider Name | Robert D Clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558436907 PECOS PAC ID: 3779651948 Enrollment ID: I20081001000694 |
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