Individual
CLAY ECKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 PINE ST, HAZLEHURST, MS 39083-2309
(601) 894-2027
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014
MS
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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