Individual
MATTHEW LAY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 GLENWAY PL, BRANDON, MS 39042-2530
(662) 809-5575
Mailing address
73 GLENWAY PL, BRANDON, MS 39042-2530
(662) 809-5575
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
123456
MS
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
About Stedi
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