Organization
CLARA M PICAYO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA M PICAYO M.D. (PRESIDENT)
(770) 926-2757
Entity
Organization
Contact information
Practice address
5570 BELLS FERRY RD, ACWORTH, GA 30102-2526
(770) 926-2757
(770) 926-2758
Mailing address
5570 BELLS FERRY RD, ACWORTH, GA 30102-2526
(770) 926-2757
(770) 926-2758
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
58381
GA
208D00000X
General Practice Physician
Primary
58381
GA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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