Individual
COURTNEY GRACE CLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
209 N. CUTHBERT STREET, COLQUITT, GA 39837-3518
(229) 758-4212
(229) 758-2668
Mailing address
209 N. CUTHBERT STREET, COLQUITT, GA 39837-3518
(229) 758-4212
(229) 758-2668
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN180309
GA
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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