Individual
CLARA M. PICAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
861 HOLCOMB BRIDGE RD, STE 200, ROSWELL, GA 30076-1900
(770) 992-4455
(770) 926-2758
Mailing address
3369 BUFORD HWY NE, SUITE 810, BROOKHAVEN, GA 30329-3722
(404) 321-4692
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
058381
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058381
MEDICAL LICENSE
GA
Enumeration date
08/24/2006
Last updated
08/17/2016
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