Individual
MARK CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4039 GATEWAY BLVD STE 102, GROVETOWN, GA 30813-3390
(706) 210-9534
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(803) 349-4118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008685
GA
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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