CLAYTON MHDDAD NPI 1861700973

NPI Information

  • NPI: 1861700973
  • Provider Name: CLAYTON MHDDAD
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: CLAYTON CSB
  • Address: 1585 PINTAIL RD
    JONESBORO, GA
    ZIP 30238
  • Phone: (770) 478-2280

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NPI Details

CLAYTON MHDDAD is a durable medical equipment medical supplies in Jonesboro, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CLAYTON MHDDAD NPI is 1861700973. The provider is registered as an organization entity type.
The provider Is Doing Business As Clayton Csb.

The provider's business location address is:

1585 PINTAIL RD
JONESBORO, GA
ZIP 30238-641
Phone: (770) 478-2280

The provider's authorized official is Terry Cole .
The authorized official title is Ceo and has the following contact phone number (770) 478-2280.

The enumeration date for this NPI number is 9/23/2010 and was last updated on 9/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100606922AQMEDICAIDGEORGIA
2GRP2322MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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