Individual
KATHRYN ROSE CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 HIGHLAND DR, RIVERDALE, GA 30296-1115
(770) 997-5714
(770) 997-2844
Mailing address
107 HIGHLAND DR, RIVERDALE, GA 30296-1115
(770) 997-5714
(770) 997-2844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00753827A
—
GA
Enumeration date
08/17/2006
Last updated
07/08/2007
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