CLAY N STALLWORTH

AUGUSTA, GA
NPI1790896215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  047847)
Enumeration Date2006-08-31
Last Update Date2012-12-03
Business Address
-- CLAY N STALLWORTH MD
905 15TH ST
AUGUSTA, GA 30901-0615
Phone number: 706-721-3125
Mailing Address
-- CLAY N STALLWORTH MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-724-6100
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