MEDICARE: DR. CLAYTON BUIE 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
1	208000000X	Pediatrics Physician	14131	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	510-11419	OTHER	AL	BLUE CROSS AND BLUE SHIELD OF ALABAMA
2	E87620	OTHER	AL	UPIN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356331466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAYTON BUIE M.D.

Provider Business Mailing Address
First Line	:	1022 1ST ST N
Second Line	:	SUITE 102
City	:	ALABASTER
State	:	AL
Zip	:	35007-8706
Country	:	US
Telephone Number	:	205-663-9550
Fax Number	:	205-620-0864

Provider Business Practice Location Address
First Line	:	1022 1ST ST N
Second Line	:	SUITE 102
City	:	ALABASTER
State	:	AL
Zip	:	35007-8706
Country	:	US
Telephone Number	:	205-663-9550
Fax Number	:	205-620-0864

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	01/04/2016

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Directions to “ DR. CLAYTON BUIE M.D.” Practice Location

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