Organization
CLAYTON ORTHOPEDIC CLINIC
Active
Other names
Eagle's Landing Bone & Joint
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL COLVARD BERRY M. D. (OWNER)
(678) 289-5040
Entity
Organization
Contact information
Practice address
1050 EAGLES LANDING PKWY, SUITE 103, STOCKBRIDGE, GA 30281-9020
(678) 289-5040
(678) 289-2040
Mailing address
1050 EAGLES LANDING PKWY, SUITE 103, STOCKBRIDGE, GA 30281-9018
(678) 289-5040
(678) 289-2040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
013727
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000599068A
—
GA
05
—
00599068A
—
GA
Enumeration date
10/22/2007
Last updated
02/26/2010
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