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Mr. Emmitt Ray Claud JR., PA-C
Medical Physician Assistant in Goodlettsville, Tennessee
NPI 1780614131

Emmitt Ray Claud JR. is a Medical Physician Assistant based in Hermitage, TN and is specialized in Medical. Emmitt Ray Claud JR. practices in Goodlettsville, TN and has the professional credentials of PA-C. The NPI Number for Emmitt Ray Claud JR. is 1780614131 and holds a License No. 550 (Tennessee).

The current practice location address for Emmitt Ray Claud JR. is 201 Bluebird Dr, Goodlettsville, TN and can be reached out via phone at 615-859-7546 and via fax at 615-851-7760.

Location: 201 Bluebird Dr, Goodlettsville, TN, 37076-3494
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Provider Profile Details
NPI Number
1780614131
Provider Name
Emmitt Ray Claud JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
201 Bluebird Dr, Goodlettsville, TN, 37076-3494
Phone Number
615-859-7546
Fax Number
615-851-7760
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3708943 01 TN GROUP MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
201 Bluebird Dr
City
State
Zip
37072-2301
Phone Number
615-859-7546
Fax Number
615-851-7760
person
Provider Business Mailing Address Details
Address
201 Bluebird Dr
City
State
Zip
37072-2301
Phone Number
615-859-7546
Fax Number
615-851-7760
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
550 (Tennessee)
Definition
Definition to come...
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