Individual
CLAYTON BUTLER WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6025
(912) 434-9810
Mailing address
201 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6025
(912) 434-9810
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC001445
GA
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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