Provider Demographics
NPI:1417046806
Name:CLAYTON, WARREN F JR (MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:F
Last Name:CLAYTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 MEDICAL CENTER PKWY
Mailing Address - Street 2:STE. 404
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3199
Mailing Address - Country:US
Mailing Address - Phone:615-396-5003
Mailing Address - Fax:615-396-5283
Practice Address - Street 1:1840 MEDICAL CENTER PKWY
Practice Address - Street 2:STE. 404
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3199
Practice Address - Country:US
Practice Address - Phone:615-396-5003
Practice Address - Fax:615-396-5283
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43469207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1525403Medicaid
TN103I469520Medicare PIN
OHI68383Medicare UPIN