Individual
MR. CHARLIE CLAY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
281 NIXON STREET, BILOXI, MS 39530
(228) 209-2906
Mailing address
281 NIXON STREET, BILOXI, MS 39530
(228) 209-2906
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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