Individual
MR. CLAY DITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(404) 367-3014
(404) 367-3558
Mailing address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(404) 367-3014
(404) 367-3558
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN246944
GA
Other
Enumeration date
10/27/2011
Last updated
02/29/2016
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