Organization Name: | AMBER L. CLANTON LLC DBA HEALTHWISE |
NPI Number: | 1083807218 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMBER L. CLANTON (OWNER) |
Mailing Address: | 6955 Old Canton Rd Ste L Ridgeland |
State: | MS US |
Postal Code: | 391571267 |
Phone Number: | 6018995642 |
Fax Number: | 6018995643 |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |