Individual
MR. CLAY BRYAN CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2050 WALTON WAY STE 101, AUGUSTA, GA 30904-4163
(706) 434-1590
Mailing address
801 MONTE SANO AVE APT B1, AUGUSTA, GA 30904-6172
(706) 825-8416
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6011
GA
Other
Enumeration date
09/24/2010
Last updated
02/21/2025
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