Individual
BRYAN MCRAE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
970 LAKELAND DR STE 40, JACKSON, MS 39216-4640
(601) 200-4580
(601) 200-4838
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13252
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03334395
—
MS
Enumeration date
11/02/2006
Last updated
02/26/2019
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