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Individual

LYNDA DIANNA CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
(770) 751-2500
(770) 751-2609
Mailing address
PO BOX 116171, ATLANTA, GA 30368-6171
(800) 919-1190
(706) 737-2271

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
RN131997
GA
367500000X
Certified Registered Nurse Anesthetist
RN131997
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000745753A
GA
05
000745753B
GA
05
000745753C
GA
Enumeration date
09/26/2005
Last updated
05/01/2024
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