Individual
DR. CLAYTON LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699
(229) 257-1459
Mailing address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-1459
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28584
NE
Other
Enumeration date
05/30/2013
Last updated
05/15/2018
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