Individual
CLAYTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 W PATTON ST, LAFAYETTE, GA 30728
(706) 638-3114
Mailing address
PO BOX 791, LA FAYETTE, GA 30728-0791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027913
GA
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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