| NPI | 1164271110 |
|---|---|
| Doing Business As | AHN CLAYTON STATE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM SHREWSBURY CFO 478-633-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |