Individual
MR. CLAYTON REESE ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 COUNTRY CLUB DR BLDG 100A, STOCKBRIDGE, GA 30281-7216
(470) 878-1359
Mailing address
118 THRUSH ST, CORDELE, GA 31015-6818
(229) 947-8479
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC010691
GA
Other
Enumeration date
04/25/2025
Last updated
10/10/2025
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