Provider Demographics
NPI:1831417013
Name:CLAPP, DEBRA (PARAPROFESSIONAL, BA)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:CLAPP
Suffix:
Gender:F
Credentials:PARAPROFESSIONAL, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 ZEBULON RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31220-7606
Mailing Address - Country:US
Mailing Address - Phone:478-476-0805
Mailing Address - Fax:478-475-9492
Practice Address - Street 1:6601 ZEBULON RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31220-7606
Practice Address - Country:US
Practice Address - Phone:478-476-0805
Practice Address - Fax:478-475-9492
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker