Clara M Picayo Md Professional Corporation
LBN: Clara M Picayo Md Professional Corporation
Clara M Picayo Md Professional Corporation is an health care organization with primary practice located at 5570 Bells Ferry Rd , Acworth GA 30102-2526. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Clara M Picayo Md Professional Corporation can be contacted via phone (770) 926-2757, or through Picayo, Clara M via phone (770) 926-2757.
Contact Information
Primary practice address
5570 Bells Ferry Rd
Acworth GA 30102-2526
Phone: (770) 926-2757
Fax: (770) 926-2758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 058381 | Georgia |
Profile Details
| NPI number | 1104000660 |
|---|---|
| LBN Legal business name | Clara M Picayo Md Professional Corporation |
| DBA Doing business as | |
| Authorized official | Picayo, Clara M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2007 |
| Last updated | Jan 28th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104000660 | NPPES |
| Georgia | MEDICAID | 608406833B | |
| Georgia | Other | 01149193 |
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