# CLARA M PICAYO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306017249
- **Authorized official:** DR. CLARA M PICAYO M.D. (PRESIDENT)
- **Authorized official phone:** (770) 926-2757

## Contact information

- **Practice address:** 5570 BELLS FERRY RD, ACWORTH, GA 30102-2526
- **Practice address phone:** (770) 926-2757
- **Practice address fax:** (770) 926-2758
- **Mailing address:** 5570 BELLS FERRY RD, ACWORTH, GA 30102-2526
- **Mailing address phone:** (770) 926-2757
- **Mailing address fax:** (770) 926-2758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 58381 | GA | — |
| 208D00000X | General Practice Physician | 58381 | GA | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 03/19/2008