Organization
CLAYTON MEDICAL SURGICAL
Active
Other names
CLAYTON MINOR EMERGENCY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON R MARQUEZ M.D. (MEDICAL DIRECTOR)
(770) 477-8573
Entity
Organization
Contact information
Practice address
6911 TARA BLVD # A, JONESBORO, GA 30236-1503
(770) 477-8573
(770) 477-9045
Mailing address
6911 TARA BLVD # A, JONESBORO, GA 30236-1503
(770) 477-8573
(770) 477-9045
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290529
UNITED HEALTHCARE
GA
Enumeration date
03/26/2007
Last updated
08/22/2020
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