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NPI Code Detail

MEDICARE: DR. JILL D CLAY M.D.

MEDICARE: DR. JILL D CLAY M.D.
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
1207R00000XInternal Medicine Physician036-112485IL
2207R00000XInternal Medicine Physician35.134968OH

General Provider Information

NPI Number : 1306883582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JILL D CLAY M.D.
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 614-702-7899
Fax Number : 614-706-1570
Provider Business Practice Location Address
First Line : 2260 MORSE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-5858
Country : US
Telephone Number : 614-702-7899
Fax Number : 614-706-1570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 01/20/2022

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