Clayton, Buddy J

Clayton, Buddy J is an individual health care provider with primary practice located at 1497 W Elk Ave Suite 11, Elizabethton TN 37643-2895. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clayton, Buddy J can be contacted via phone (423) 542-8929.

Contact Information

Primary practice address
1497 W Elk Ave Suite 11 Elizabethton TN 37643-2895
Phone: (423) 542-8929
Fax: (423) 542-8621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD26900 Tennessee

Profile Details

NPI number 1477525699
LBN Legal business name Clayton, Buddy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 30th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477525699 NPPES
Tennessee MEDICAID 3098929
Tennessee MEDICAID 1477525699
Tennessee MEDICAID 3098921
Tennessee MEDICAID Q003262
Tennessee Other 080135081
Tennessee MEDICAID 1505556

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