Individual
DR. DWAYNE LEE CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6010 LAKESIDE COMMONS DR, SUITE A, MACON, GA 31210-5779
(478) 475-9220
(478) 475-9201
Mailing address
6010 LAKESIDE COMMONS DR, SUITE A, MACON, GA 31210-5779
(478) 475-9220
(478) 475-9201
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
042215
GA
208VP0000X
Pain Medicine Physician
042215
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
042215
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00738493H
—
GA
Enumeration date
08/15/2006
Last updated
12/01/2009
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