Individual
JOHN D WISE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 E NORTHSIDE DR, SUITE D, CLINTON, MS 39056-3437
(601) 925-9473
(601) 925-9490
Mailing address
600 E NORTHSIDE DR, SUITE D, CLINTON, MS 39056-3437
(601) 925-9473
(601) 925-9490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5337740001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02053764
—
MS
Enumeration date
12/13/2010
Last updated
01/04/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us