Individual
MR. CLYDE A EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
506 ISLAND GROVE RD, MAXTON, NC 28364-7840
(910) 374-5415
Mailing address
506 ISLAND GROVE RD, MAXTON, NC 28364-7840
(910) 374-5415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
104169
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169
GROUP
—
Enumeration date
04/19/2007
Last updated
04/22/2025
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