Organization
CLAYTON MEDICAL CORPORATION PLC
Active
Other names
Lifetime Family Care DBA Piney Pluff Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY LOCKE CPC, CSS-P (BILLING ADMINISTRATOR)
(423) 224-3250
Entity
Organization
Contact information
Practice address
350 BLOUNTVILLE HWY, BRISTOL, TN 37620-0213
(423) 844-6120
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD36833
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723582
—
TN
Enumeration date
08/31/2006
Last updated
03/14/2008
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