Individual
DR. CLAYTON CHARLES BETTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 UNION AVE, SUITE 500, MEMPHIS, TN 38104-6638
(901) 759-3100
(901) 759-5416
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-5416
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
54304
TN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
54304
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05035265
—
MS
05
—
100212871
—
MS
05
—
216986001
—
AR
05
—
Q025470
—
TN
Enumeration date
05/09/2010
Last updated
10/05/2022
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