Tommy Clifton Eddy in Clarksville - Psychiatric/mental Health

Tommy Clifton Eddy - NPI 1366572695

Tommy Clifton Eddy is a Psychiatric/mental Health in Clarksville, Arkansas. Tommy Clifton Eddy practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Tommy Clifton Eddy is 1366572695. The last update date is 2007-07-08.

Tommy Clifton Eddy's current location address is 1151 S Rogers St, Clarksville, Arkansas. You can contact this provider via phone number 4797545511 and fax number 4797545545. The mailing address for Tommy Clifton Eddy is 1151 S Rogers St, Clarksville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Tommy Clifton Eddy
Address 1151 S Rogers St, Clarksville, Arkansas
Phone Number 4797545511
Fax Number 4797545545
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1366572695
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1151 S Rogers St
City Clarksville
State Arkansas (AR)
Post Code 728309158
Phone Number 4797545511
Fax Number 4797545545

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 163Wp0808X
Licence No R36967
Definition:
A registered nurse who cares for patients with mental health disorders and conditions.

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FAQs about Tommy Clifton Eddy

What is the unique identifier code issued to Tommy Clifton Eddy by the Centers for Medicare & Medicaid Services (CMS)?

The Tommy Clifton Eddy has been assigned the NPI (National Provider Identifier) 1366572695. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Tommy Clifton Eddy's facilities are geographically located?

The facilities of Tommy Clifton Eddy are physically situated at the following location: 1151 S Rogers St, Clarksville, AR, 728309158.

What is Tommy Clifton Eddy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tommy Clifton Eddy is Psychiatric/mental Health, and the taxonomy code that classifies this field of practice is 163Wp0808X.

On what date did the Tommy Clifton Eddy receive the assignment of its 1366572695 from the Centers for Medicare & Medicaid Services?

The Tommy Clifton Eddy was issued its 1366572695 by the Centers for Medicare & Medicaid Services on 2007-03-06.

As of what date were the details pertaining to Tommy Clifton Eddy last refreshed?

The information related to the Tommy Clifton Eddy, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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