Individual
MR. CHARLES LAMAR CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1848 VINELAND LN, TALLAHASSEE, FL 32317-7924
(850) 519-1113
(850) 656-5549
Mailing address
1848 VINELAND LN, TALLAHASSEE, FL 32317-7924
(850) 519-1113
(850) 656-5549
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1859402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305526400
—
FL
01
—
G0150
BLUE CROSS
FL
01
—
P00352522
RAILROAD MEDICARE
FL
Enumeration date
02/02/2006
Last updated
02/05/2009
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