MEDICARE: JONATHAN CLAYTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	048339	GA
2	207L00000X	Anesthesiology Physician	48339	GA

General Provider Information

NPI Number	:	1831182518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN CLAYTON MD

Provider Business Mailing Address
First Line	:	1984 PEACHTREE RD NW
Second Line	:	SUITE 515
City	:	ATLANTA
State	:	GA
Zip	:	30309-1298
Country	:	US
Telephone Number	:	404-351-1745
Fax Number	:

Provider Business Practice Location Address
First Line	:	1255 HIGHWAY 54 W
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-4526
Country	:	US
Telephone Number	:	404-351-1745
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	01/23/2023

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Directions to “ JONATHAN CLAYTON MD” Practice Location

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