Individual
CHARLES ROBERT CLAYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19849 STATE LINE ROAD, LAWRENCEBURG, IN 47025-7791
(812) 496-8774
(812) 537-9434
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057406A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428040
—
IN
Enumeration date
03/14/2006
Last updated
04/17/2025
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