Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural |
282NR1301X |
| NPI Number | 1265683775 |
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| LBN Legal business name | CLAY COUNTY MEDICAL | ||||
| Authorized official | STACEY GEORGE - (CERTIFIED REGISTERED NURSE ANESTHET) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 10/02/2008 | ||||
| Last updated | 10/02/2008 - About 18 years ago | ||||
| Identifiers |
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CLAY COUNTY MEDICAL
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