NPI age
18 years
Enumerated 2007-10-09
● Active Type 2 · Organization
Subpart
Clayton Mhddad
Clayton Mhddad is 1 of 662 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cole
Executive Director
Last NPPES update
2011-11-15
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
18 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
901 Walnut Creek Ln
Jonesboro, GA 302386465
Mailing address
157 Smith St
Jonesboro, GA 302363546
Authorized official
Terry Cole
Executive Director
📞 7704782280
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00606922E |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Clayton CSB
Practice context
Single-site organization. Only one practice location on file.
Subpart of Clayton Mhddad.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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