OrganizationActive
Clyde E. Elliott, M. D. a Professional Corporation
NPI 1265749519 · Addiction Medicine (Family Medicine) Physician · West Monroe, LA
Provider details
- NPI number
- 1265749519
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Clyde Elliott, President
- License
- 10533 (LA)
Practice location
304 Circle Dr
West Monroe, LA 71291-5308
Phone: (318) 388-4863
Fax: (318) 388-1144
Mailing address
304 Circle Dr
West Monroe, LA 71291-5308
Registry dates
- Enumerated
- 2010-09-08
- Last updated
- 2011-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.