MR. Dewayne Troy Proctor
NPI #1740329259 in Cleveland, Mississippi
Provider Information
- NPI Number
- 1740329259
- Entity Type
- Individual
- Name
- MR. Dewayne Troy Proctor
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1101 SMITH AVE
- City
- Cleveland
- State
- Mississippi
- ZIP Code
- 38732-4059
- Phone
- (662) 588-5283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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