Clayton, Todd A

Clayton, Todd A is an individual health care provider with primary practice located at 1200 N State St Ste Ll-10 , Jackson MS 39202-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clayton, Todd A can be contacted via phone (601) 362-7280.

Contact Information

Primary practice address
1200 N State St Ste Ll-10 Jackson MS 39202-2000
Phone: (601) 362-7280
Fax: (601) 362-8116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15487 Mississippi

Profile Details

NPI number 1386621936
LBN Legal business name Clayton, Todd A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2005
Last updated Jun 2nd, 2023 - about 3 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 1386621936 NPPES
Mississippi MEDICAID 00121402

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