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Organization

CLAYTOR MEMORIAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD LAMONT CLAYTOR JR. MD (OWNER)
(540) 598-6321
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101055727
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376633610
VA
Enumeration date
12/14/2015
Last updated
12/14/2015
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