Provider Demographics
NPI:1376539635
Name:CLAY COUNTY MEDICAL CLINICS, P.C.
Entity Type:Organization
Organization Name:CLAY COUNTY MEDICAL CLINICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:SR
Authorized Official - Credentials:MC
Authorized Official - Phone:256-396-2141
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:LINEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36266-0098
Mailing Address - Country:US
Mailing Address - Phone:256-396-2141
Mailing Address - Fax:
Practice Address - Street 1:60026 HIGHWAY 49
Practice Address - Street 2:
Practice Address - City:LINEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36266-4735
Practice Address - Country:US
Practice Address - Phone:256-396-2141
Practice Address - Fax:256-396-5884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty