| Clayton Mhddad | |
|
6944 Fielder Rd Rex GA 30273-2414 | |
| (770) 478-2280 | |
| (770) 477-9772 |
| Full Name | Clayton Mhddad |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 6944 Fielder Rd, Rex, Georgia |
| Authorized Official Name and Position | Jade Benefield (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7704782280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Mhddad 112 Broad St Jonesboro GA 30236-3563 Ph: (770) 478-2280 | Clayton Mhddad 6944 Fielder Rd Rex GA 30273-2414 Ph: (770) 478-2280 |
| NPI Number | 1386890341 |
|---|---|
| Provider Enumeration Date | 08/11/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386890341 | NPI | - | NPPES |
| 000606922AG | Medicaid | GA |
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