Individual
CLYDE H HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
129 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-6248
Mailing address
PO BOX 23145, JACKSON, MS 39225-3145
(954) 545-0337
(954) 545-3497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R869711
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08527368
—
MS
01
—
P00132031
RAILROAD MEDICARE
MS
Enumeration date
06/23/2006
Last updated
07/08/2007
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