NPI age
18 years
Enumerated 2007-10-05
● 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
4513 Ernest Dr, Apt. # 1 & 3
Forest Park, GA 302973566
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) | 00604205L |
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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