SHANTA LACOLE CLAYTON


Address: 437 S Morris Rd Lot 1, Moultrie, GA 31768-0874
Phone: 2295296473

SHANTA LACOLE CLAYTON (NPI# 1831699586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831699586
Entity Type Individual
Full Name SHANTA LACOLE CLAYTON
Credential RN
Practice Address 437 S Morris Rd Lot 1
Moultrie
GA 31768-0874
Practice Telephone 2295296473
Mailing Telephone 2295296473
Enumeration Date 2018-02-20
Last Update Date 2018-02-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
RN251414 GA Nursing Service Providers

Office Location

Street Address 437 S MORRIS RD LOT 1
City MOULTRIE
State GA
Zip Code 31768-0874

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104329689 The Pink Penny Private Home Care, LLC Home Health 437 S Morris Rd Lot 1, Moultrie, GA 31768-0874 2018-03-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356975452 Zachary Schiffer Specialist/Technologist 3131 S Main Street, Moultrie, GA 31768 2020-02-27
1326697731 Daisy Concierge Care Nursing Care 437 S. Morris Rd Lt 1, Moultrie, GA 31768 2019-09-09
1194208751 Regina Mercer Ward Nurse Practitioner 1724 Villa Dr Sw, Moultrie, GA 31768 2018-09-10
1225473630 Moultrie Orthodontics, P.C. Clinic/Center 12 Longleaf Office Park, Moultrie, GA 31768 2013-04-30
1497032239 Freds Stores of Tennessee Inc Pharmacy 2601 South Main Street, Moultrie, GA 31768 2011-11-08
1821382672 Colquitt Regional Ob/gyn, LLC Obstetrics & Gynecology 3 Sweet Bay Ct, Moultrie, GA 31768 2011-06-08
1568779809 Shana Goodno Nurse Practitioner 207 31 St Ave Se, Moultrie, GA 31768 2010-09-08
1508177445 Cherokee Rose Emergency Physicians Emergency Medicine 3131 South Main Street, Moultrie, GA 31768 2010-06-25
1023299963 Hetal Patel Counselor 600 2nd St South East, Moultrie, GA 31768 2007-11-20
1720146756 William C Byrd Inc Assisted Living Facility 498 5th Street Se, Moultrie, GA 31768 2006-12-04
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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265047203 Ramona A Martinez Registered Nurse 40 Rosebud Ln, Mcdonough, GA 30253-5450 2020-09-15
1316581945 Sheena Maria Hall Registered Nurse 2969 Hollow Ln, Powder Springs, GA 30127-1864 2019-11-06
1689193989 Mary E Parker Registered Nurse 1502 Valwood Ave, Thomasville, GA 31792-3943 2017-09-18
1043738909 Latoya Katrese Buford Registered Nurse 2022 Fairburn Rd Ste D, Douglasville, GA 30135-1062 2017-08-31
1205237971 Ronald Toups Jr. Registered Nurse 1907 Dry Valley Rd, Rossville, GA 30741-6171 2014-09-11
1114337359 Jean Green Registered Nurse 232 Crepe Myrtle Cir, Ocilla, GA 31774-3348 2014-04-28
1558631986 Elizabeth Flannery Registered Nurse 500 Northside Cir Nw, Atlanta, GA 30309-2122 2012-01-02
1932478047 Sarah G Talone Registered Nurse 6 Red Bud Dr, Fort Stewart, GA 31315-1056 2011-12-19
1346432895 Santredra F Wright Registered Nurse 2799 Davis Mill Rd, Hephzibah, GA 30815-6904 2007-08-17
1285653253 Sheila Armstrong Registered Nurse 1075 Jesse Jewell Pkwy Ne Ste B, Suite B, Gainesville, GA 30501-3814 2006-07-19
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Competitor

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City MOULTRIE
Zip Code 31768

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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