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Contact Information

CLAYTON LIVELY, MD
3278 MITCHELL BLVD
MOODY AFB, GA31699
 Phone: 229-257-1459
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CLAYTON LIVELY · (Male)

NPI # 1407293418
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2013
Last updated 05/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 28584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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