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1790896215
CLAY N STALLWORTH
AUGUSTA, GA
NPI
1790896215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 047847)
Enumeration Date
2006-08-31
Last Update Date
2012-12-03
Business Address
-- CLAY N STALLWORTH MD
905 15TH ST
AUGUSTA, GA 30901-0615
Phone number: 706-721-3125
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Mailing Address
-- CLAY N STALLWORTH MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-724-6100
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