Individual
CLAY MICHAEL MUSSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
164 NURSING HOME CIR, BLAIRSVILLE, GA 30512-3117
(706) 745-4948
Mailing address
147 MONTVIEW DR, JASPER, GA 30143-2176
(740) 586-1566
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002829
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTA002829
—
GA
Enumeration date
11/09/2021
Last updated
11/09/2021
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