Organization
CLAYTON MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH FAIRCLOUGH (CEO)
(404) 808-5118
Entity
Organization
Contact information
Practice address
6518 HIGHWAY 85 STE G, RIVERDALE, GA 30274-2364
(770) 997-5660
(770) 216-1818
Mailing address
6518 HIGHWAY 85 STE G, RIVERDALE, GA 30274-2364
(770) 997-5660
(770) 216-1818
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
12/05/2023
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