Provider Demographics
NPI:1942883822
Name:CLANTON, CARIANA JOSEPHINE (DO)
Entity type:Individual
Prefix:DR
First Name:CARIANA
Middle Name:JOSEPHINE
Last Name:CLANTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12715 WARWICK BLVD STE M&O
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-1800
Mailing Address - Country:US
Mailing Address - Phone:757-830-0091
Mailing Address - Fax:757-269-4406
Practice Address - Street 1:12715 WARWICK BLVD STE M&O
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-1800
Practice Address - Country:US
Practice Address - Phone:757-830-0091
Practice Address - Fax:757-269-4406
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102208681207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine