Provider Demographics
NPI:1235703703
Name:CLAYTON, BRETT JOHNATHAN (DO)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:JOHNATHAN
Last Name:CLAYTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 746638
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6638
Mailing Address - Country:US
Mailing Address - Phone:904-202-2092
Mailing Address - Fax:904-376-4075
Practice Address - Street 1:520 A1A N STE 101
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-2260
Practice Address - Country:US
Practice Address - Phone:904-273-6900
Practice Address - Fax:904-390-7479
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2024-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS20799207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine