Clyde O Southwell in Hendersonville - Specialist
Clyde O Southwell - NPI 1346288966
Clyde O Southwell is a Specialist in Hendersonville, Tennessee. Clyde O Southwell practices all healthcare services and medical treatments related to Specialist. The NPI Number for Clyde O Southwell is 1346288966. The last update date is 2011-04-11.
Clyde O Southwell's current location address is 353 New Shackle Island Rd., Hendersonville, Tennessee. You can contact this provider via phone number 6158222214 and fax number 6158226519. The mailing address for Clyde O Southwell is 353 New Shackle Island Rd., Hendersonville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde O Southwell |
|---|---|
| Address | 353 New Shackle Island Rd., Hendersonville, Tennessee |
| Phone Number | 6158222214 |
| Fax Number | 6158226519 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1346288966 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2011-04-11 |
Provider Mailing Address Detail
| Address | 353 New Shackle Island Rd. |
|---|---|
| City | Hendersonville |
| State | Tennessee (TN) |
| Post Code | 370752379 |
| Phone Number | 6158222214 |
| Fax Number | 6158226519 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 43085 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| N01356 | SC | SC MEDICAID PROVIDER# | |
| 14014 | NC | BCBS PROVIDER# | |
| 404464 | NC | EVERCARE | |
| 184386 | NC | MEDCOST PROVIDER# | |
| 5902491 | NC | -- | |
| P00278679 | NC | PALMETTO GBA PROVIDER# | |
| FH2967215 | NC | FCC PROVIDER# |
Post Comment/ Review Below
What is the unique identifier code issued to Clyde O Southwell by the Centers for Medicare & Medicaid Services (CMS)?
The Clyde O Southwell has been assigned the NPI (National Provider Identifier) 1346288966. 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 Clyde O Southwell's facilities are geographically located?
The facilities of Clyde O Southwell are physically situated at the following location: 353 New Shackle Island Rd., Hendersonville, TN, 370752379.
What is the Clyde O Southwell's specialty and taxonomy code?
The Clyde O Southwell's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1346288966 to Clyde O Southwell?
The Centers for Medicare & Medicaid Services assigned the 1346288966 to Clyde O Southwell on 2006-06-04.
When was the information regarding Clyde O Southwell most recently updated?
The details pertaining to the Clyde O Southwell, including its address, specialty, and other relevant information, were last refreshed on 2011-04-11.