Individual
CLINTON MICHAEL RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1419 HAMRIC DR E STE 201, OXFORD, AL 36203-2181
(256) 241-4842
(256) 241-3254
Mailing address
1419 HAMRIC DR E STE 201, OXFORD, AL 36203-2181
(256) 241-4842
(256) 241-3254
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00023812
AL
207X00000X
Orthopaedic Surgery Physician
MD.23812
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051501324
BLUE SHIELD
AL
05
—
051501324
—
AL
01
—
622214001
MEDICARE PTAN DME
AL
Enumeration date
10/18/2005
Last updated
01/27/2026
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