Provider Demographics
NPI:1962030221
Name:CLAYTON, ALLISON BURGE (RD)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:BURGE
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
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Mailing Address - Street 1:50 N DUNLAP
Mailing Address - Street 2:NUTRITION THERAPY DEPT, 1ST FLOOR RESEARCH TOWER
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103
Mailing Address - Country:US
Mailing Address - Phone:901-287-6242
Mailing Address - Fax:901-287-5123
Practice Address - Street 1:50 N DUNLAP
Practice Address - Street 2:NUTRITION THERAPY DEPT, 1ST FLOOR RESEARCH TOWER
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103
Practice Address - Country:US
Practice Address - Phone:901-287-6242
Practice Address - Fax:901-287-5123
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN2599133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric