Individual
DR. CLAY PAUL GOINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1720 GUNBARREL RD, SUITE 310, CHATTANOOGA, TN 37421-3192
(423) 954-9511
(423) 954-9912
Mailing address
1720 GUNBARREL RD, SUITE 310, CHATTANOOGA, TN 37421-3192
(423) 954-9511
(423) 954-9912
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8600
TN
1223P0221X
Pediatric Dentistry
DN013067
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100199
AVESIS MEDICAID
GA
05
—
124812432A
—
GA
01
—
9181145
DORAL MEDICAID
GA
Enumeration date
11/30/2006
Last updated
12/16/2008
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