Doctor Name: | MR. JOHN R CLAY |
NPI Number: | 1487899357 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 714c Carolina Ave Yadkinville, NC - 270557760 |
Business Phone Number: | 3368895909 |
Business Fax Number: | 3362459035 |
Mailing Address: | 714c Carolina Ave, YADKINVILLE |
State: | NC |
Postal Code: | 270557760 |
Phone Number: | 3368895909 |
Fax Number: | 3362459035 |
NPI Enumeration Date: | 12/08/2008 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |