Clayton, Lynda Dianna
Clayton, Lynda Dianna is an individual health care provider with primary practice located at 3000 Hospital Blvd , Roswell GA 30076-4915. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Clayton, Lynda Dianna can be contacted via phone (770) 751-2500.Contact Information
Primary practice address
3000 Hospital Blvd
Roswell GA 30076-4915
Phone: (770) 751-2500
Fax: (770) 751-2609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN131997 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | RN131997 | Georgia |
Profile Details
| NPI number | 1609862655 |
|---|---|
| LBN Legal business name | Clayton, Lynda Dianna |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | May 1st, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609862655 | NPPES |
| Georgia | MEDICAID | 000745753A | |
| Georgia | MEDICAID | 000745753C | |
| Georgia | MEDICAID | 000745753B |
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