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Contact Information

CHARLIE CLAY III, MBA
281 NIXON STREET
BILOXI, MS39530
 Phone: 228-209-2906
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for

NPI Number 1487355707
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/14/2023
Last updated 03/14/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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