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Individual

MR. W. CLAYTON BUIE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5627
Mailing address
9702 WELCH CIR SE, HUNTSVILLE, AL 35803-2622
(256) 880-8075
(256) 650-5041

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
502
AL
225X00000X
Occupational Therapist
635
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-30449
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/18/2006
Last updated
07/08/2007
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