CLAYTON FAIRCLOTH

MILLEDGEVILLE, GA
NPI1922557735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT002924)
Enumeration Date2016-09-22
Last Update Date2016-09-22
Business Address
-- CLAYTON FAIRCLOTH MS, ATC, LAT
208 IVEY DR SW
MILLEDGEVILLE, GA 31061-3760
Phone number: 912-687-1080
Mailing Address
-- CLAYTON FAIRCLOTH MS, ATC, LAT
208 IVEY DR SW
MILLEDGEVILLE, GA 31061-3760
Phone number: 912-687-1080
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