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CLAYTON OUTPATIENT SURGICAL CENTER

Surgery Yellow Pages

Jonesboro, Georgia

Provider NPI: 1538166012

Organization Information:
Organization Name:  CLAYTON OUTPATIENT SURGICAL CENTER


Practice Location:
6911 TARA BLVD SUITE 104 JONESBORO, GA 30236 US
Tel: 770-477-9535  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
GA031-070

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARE490002632GA01
00649833AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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