Individual
DR. CLYDE CARLOS ROUSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18117 SCENIC HIGHWAY 98, # 100, FAIRHOPE, AL 36532-6852
(251) 928-6908
Mailing address
18117 SCENIC HIGHWAY 98, # 100, FAIRHOPE, AL 36532-6852
(251) 928-6908
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17276
AL
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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