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NPI Code Detail

MEDICARE: ANTHONY CLARY CAA

MEDICARE: ANTHONY CLARY CAA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramGA

General Provider Information

NPI Number : 1154267003
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY CLARY CAA
Provider Business Mailing Address
First Line : 9384 PINYON CT
Second Line :
City : CLARENCE CENTER
State : NY
Zip : 14032-9143
Country : US
Telephone Number : 716-777-1039
Fax Number :
Provider Business Practice Location Address
First Line : 1968 PEACHTREE RD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1281
Country : US
Telephone Number : 404-605-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ ANTHONY CLARY CAA” Practice Location

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