institution
Clara M Picayo Md Professional Corporation
General Practice Physician in Acworth, Georgia
NPI 1104000660

Clara M Picayo Md Professional Corporation is a General Practice Physician based in Acworth, GA. Clara M Picayo Md Professional Corporation practices in Acworth, GA. The NPI Number for Clara M Picayo Md Professional Corporation is 1104000660 and holds a License No. 058381 (Georgia).

The current practice location address for Clara M Picayo Md Professional Corporation is 5570 Bells Ferry Rd, Acworth, GA and can be reached out via phone at 770-926-2757 and via fax at 770-926-2758.

Location: 5570 Bells Ferry Rd, Acworth, GA, 30102-2526
institution
Provider Profile Details
NPI Number
1104000660
Provider Name
Clara M Picayo Md Professional Corporation
Credential
Provider Entity Type
Organization
Address
5570 Bells Ferry Rd, Acworth, GA, 30102-2526
Phone Number
770-926-2757
Fax Number
770-926-2758
Provider Enumeration Date
12/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
608406833B 05 GA
01149193 01 GA AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
5570 Bells Ferry Rd
City
State
Zip
30102-2526
Phone Number
770-926-2757
Fax Number
770-926-2758
person
Provider Business Mailing Address Details
Address
5570 Bells Ferry Rd
City
State
Zip
30102-2526
Phone Number
770-926-2757
Fax Number
770-926-2758
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
058381 (Georgia)
Definition
Definition to come...
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