# CLAYTOR MEMORIAL CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720453905
- **Authorized official:** DR. RICHARD LAMONT CLAYTOR JR. MD (OWNER)
- **Authorized official phone:** (540) 598-6321

## Contact information

- **Practice address:** 1625 FRANKLIN ST, ROCKY MOUNT, VA 24151-6390
- **Practice address phone:** (844) 543-9362
- **Mailing address:** 1625 FRANKLIN ST, ROCKY MOUNT, VA 24151-6390
- **Mailing address phone:** (844) 543-9362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 0101055727 | VA | Yes |

## Other

- **Enumeration date:** 12/14/2015
- **Last updated:** 12/14/2015
