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Individual

CLAYTON SELF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
310 S MCCASKEY RD, WILLIAMSTON, NC 27892-2150
(252) 809-6300
Mailing address
1805B SUMMERHAVEN DR, GREENVILLE, NC 27858-6082
(252) 312-7250

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P15099
NC

Other

Enumeration date
07/31/2014
Last updated
07/31/2014
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