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Individual

DR. DOUGLAS W CLANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
230 MARIETTA HWY, SUITE 100, CANTON, GA 30114
(770) 479-4777
(770) 479-9491
Mailing address
230 MARIETTA HWY, SUITE 100, CANTON, GA 30114
(770) 479-4777
(770) 479-9491

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
020676
GA

Other

Enumeration date
11/30/2005
Last updated
09/30/2009
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