Dr. Greg Donald Clanton
Psychologist in Mcdonough, GA. Individual provider (NPI-1).
NPI number1437453032
StatusActive
Last updated in NPPESDec 22, 2010
Details
- NPI
- 1437453032
- Entity type
- Individual (NPI-1)
- Name
- Dr. Greg Donald Clanton
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2010
- Last updated
- Dec 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PSY003397 | GA | Yes |
Practice location
204 W Campground RdMcdonough, GA 30253-8002
Phone 770-898-2966
Mailing address
204 W Campground RdMcdonough, GA 30253-8002
Phone 770-898-2966
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