Provider Demographics
NPI:1184003980
Name:YOUNG, CLAYTON (CNMT, PA-C)
Entity Type:Individual
Prefix:
First Name:CLAYTON
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:CNMT, PA-C
Other - Prefix:
Other - First Name:CLAY
Other - Middle Name:
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNMT, PA-C
Mailing Address - Street 1:5670 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:SUITE 880
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1699
Mailing Address - Country:US
Mailing Address - Phone:404-256-2525
Mailing Address - Fax:404-845-4720
Practice Address - Street 1:5670 PEACHTREE DUNWOODY RD
Practice Address - Street 2:SUITE 880
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1699
Practice Address - Country:US
Practice Address - Phone:404-256-2525
Practice Address - Fax:404-845-4720
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical