Individual
DR. BUDDY J CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1497 W ELK AVE, SUITE 11, ELIZABETHTON, TN 37643-2895
(423) 542-8929
(423) 542-8621
Mailing address
1497 W ELK AVE, SUITE 11, ELIZABETHTON, TN 37643-2895
(423) 542-8929
(423) 542-8621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26900
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080135081
RAILROAD MEDICARE
TN
05
—
1477525699
—
VA
05
—
1505556
—
TN
05
—
3098921
—
TN
05
—
3098929
—
TN
05
—
Q003262
—
TN
Enumeration date
02/02/2006
Last updated
01/30/2017
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