Individual
MR. JOHN R CLAY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PEDORTHIST
Contact information
Practice address
233 JOHNS ROAD, MAXTON, NC 28364-1650
(336) 889-5909
(910) 390-9002
Mailing address
233 JOHNS ROAD, MAXTON, NC 28364-1650
(336) 889-5909
(910) 390-9002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7795381
NC
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701886
—
NC
Enumeration date
12/08/2008
Last updated
08/25/2022
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