Pickard, Clay Mitchell

Pickard, Clay Mitchell is an individual health care provider with primary practice located at 1 Riverside Cir Ste 300 , Roanoke VA 24016-4962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Pickard, Clay Mitchell can be contacted via phone (540) 581-0254.

Contact Information

Primary practice address
1 Riverside Cir Ste 300 Roanoke VA 24016-4962
Phone: (540) 581-0254
Fax: (540) 581-0120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 020693 Tennessee
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101261503 Virginia

Profile Details

NPI number 1396823142
LBN Legal business name Pickard, Clay Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396823142 NPPES
Tennessee MEDICAID 3053591

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