Individual
MR. CLYDE H ELDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,BC
Contact information
Practice address
3461 AUSTIN PEAY HWY, MEMPHIS, TN 38128-3801
(901) 261-4500
(901) 261-4511
Mailing address
6785 RICKS RD, ARLINGTON, TN 38002-6907
(901) 873-3923
(901) 261-4511
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN0000048298
TN
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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