Individual
DR. CLAYTON SHANE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
421 PLAZA AVE, EASTMAN, GA 31023-6749
(478) 374-4716
Mailing address
198 E PEACOCK ST, COCHRAN, GA 31014-7852
(478) 230-1346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015447
GA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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