Individual
MR. TREY HERRON BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
580 SPRINGRIDGE RD, A5, CLINTON, MS 39056-5671
(601) 941-2023
(601) 922-5281
Mailing address
507 BERKSHIRE ST, CLINTON, MS 39056-3826
(601) 941-2023
(601) 922-5281
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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