Individual
DR. CLAY MITCHELL PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 RIVERSIDE CIR STE 300, ROANOKE, VA 24016-4962
(540) 581-0254
(540) 581-0120
Mailing address
1 RIVERSIDE CIR STE 300, ROANOKE, VA 24016-4962
(540) 581-0254
(540) 581-0120
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101261503
VA
207N00000X
Dermatology Physician
020693
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053591
—
TN
Enumeration date
11/01/2006
Last updated
12/10/2020
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