Provider Demographics
NPI:1932409083
Name:CLAYBORN, BARBRETTE A (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBRETTE
Middle Name:A
Last Name:CLAYBORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 MEDICAL CENTER CIR
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-0432
Mailing Address - Country:US
Mailing Address - Phone:662-494-9466
Mailing Address - Fax:662-494-9900
Practice Address - Street 1:373 MEDICAL CENTER CIR
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773
Practice Address - Country:US
Practice Address - Phone:662-494-9466
Practice Address - Fax:662-494-9900
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN13680207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology