| Claytor Memorial Clinic | |
|
1625 Franklin St Rocky Mount VA 24151-6390 | |
| (844) 543-9362 | |
| Not Available |
| Full Name | Claytor Memorial Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1625 Franklin St, Rocky Mount, Virginia |
| Authorized Official Name and Position | Richard Lamont Claytor (OWNER) |
| Authorized Official Contact | 5405986321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Claytor Memorial Clinic 1625 Franklin St Rocky Mount VA 24151-6390 Ph: (844) 543-9362 | Claytor Memorial Clinic 1625 Franklin St Rocky Mount VA 24151-6390 Ph: (844) 543-9362 |
| NPI Number | 1720453905 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720453905 | NPI | - | NPPES |
| 1376633610 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 0101055727 (Virginia) | Primary |
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