Organization
CLAYTON MOBILE DIAGNOSTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY KALISH DPM (PRESIDENT)
(770) 477-9535
Entity
Organization
Contact information
Practice address
6911 TARA BLVD, JONESBORO, GA 30236-1503
(770) 477-9535
(770) 471-7826
Mailing address
6911 TARA BLVD, JONESBORO, GA 30236-1503
(770) 477-9535
(770) 471-7826
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
GA
Other
Enumeration date
06/30/2005
Last updated
07/21/2022
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