Organization
ANDDAV ANALYSIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY CLARK (DIRECTOR)
(901) 652-0066
Entity
Organization
Contact information
Practice address
9370 WILSON MILL RD, LAKE CORMORANT, MS 38641-9480
(901) 652-0066
(662) 781-2704
Mailing address
9370 WILSON MILL RD, LAKE CORMORANT, MS 38641-9480
(901) 652-0066
(662) 781-2704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MS
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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