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Individual

CLAY PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7691 POPLAR AVE, GERMANTOWN, TN 38138-3904
(901) 516-6000
Mailing address
3915 DEERHURST ST, SPRINGDALE, AR 72764-6695
(870) 405-1202

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
148781
TN

Other

Enumeration date
06/03/2024
Last updated
06/03/2024
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