Individual
MS. CASSANDRA CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10020 CRYSTAL TER, JONESBORO, GA 30238-7857
(678) 777-3958
Mailing address
10020 CRYSTAL TER, JONESBORO, GA 30238-7857
(678) 777-3958
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
099831249
GA
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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