Provider Information for 1528107786
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APRIL CLANTON Clinician
Sex: Female
NPI: 1528107786
Last Updated: 2009-08-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1528107786 | ||||||||||||
| Enumeration Date | 2007-02-05 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1804 HIGHWAY 45 BYP SUITE 604 JACKSON, TN 38305-4436 United States Phone: 731-660-8759 | Fax: | ||||||||||||
| Primary Practice Address | 238 SUMMAR DR JACKSON, TN 38301-3906 United States Phone: 731-935-8200 | Fax: | ||||||||||||
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