# C. V. CLOPTON, JR, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clopton Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699879965
- **Authorized official:** MS. LISA B GREEN-CLOPTON JD (CFO/ BUSINESS MANAGER)
- **Authorized official phone:** (770) 507-0112

## Contact information

- **Practice address:** 195 FAIRVIEW RD, ELLENWOOD, GA 30294-2722
- **Practice address phone:** (770) 507-0112
- **Practice address fax:** (770) 507-9450
- **Mailing address:** PO BOX 90237, EAST POINT, GA 30364-0237
- **Mailing address phone:** (770) 507-0112
- **Mailing address fax:** (770) 507-9450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 043019 | GA | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 08/22/2020