John D Wise III
NPI #1346543345 in Clinton, Mississippi
Provider Information
- NPI Number
- 1346543345
- Entity Type
- Individual
- Name
- John D Wise III
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 13, 2010
- Last Updated
- Jan 4, 2011
Practice Location
- Address
- 600 E NORTHSIDE DR
- Address 2
- SUITE D
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-3437
- Phone
- (601) 925-9473
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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