Individual
LEA C CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2834 MOODY PKWY, MOODY, AL 35004
(205) 814-9284
(205) 814-9626
Mailing address
2834 MOODY PKWY, MOODY, AL 35004-3101
(205) 814-9284
(205) 814-9626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19310
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943455
—
AL
01
—
051519626
BCBS OF ALABAMA
AL
05
—
1376651992
—
AL
01
—
515-47339
BC BS OF AL
AL
Enumeration date
08/25/2006
Last updated
07/02/2019
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