NPI Profile for CHARLIE CLAY III in BILOXI, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI # | 1487355707 |
|
| Status | Active | |
| Credentials | MBA | |
| Entity | Individual | |
| Enumeration date | 03/14/2023 | |
| Last updated | 03/14/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CHARLIE CLAY III
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