Healthcare Provider Details

I. General information

NPI: 1225329790
Provider Name (Legal Business Name): BRITTANY NICOLE CLAYTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 DOWELL SPRINGS BLVD
KNOXVILLE TN
37909-2453
US

IV. Provider business mailing address

1344 DOWELL SPRINGS BLVD
KNOXVILLE TN
37909-2453
US

V. Phone/Fax

Practice location:
  • Phone: 865-686-0507
  • Fax: 865-357-8346
Mailing address:
  • Phone: 865-686-0507
  • Fax: 865-357-8346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME127163
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number48677
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License NumberMD0000048677
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: