John D Wise III
NPI #1972538460 in Clinton, Mississippi
Provider Information
- NPI Number
- 1972538460
- Entity Type
- Organization
- Organization Name
- John D Wise III
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 12, 2006
- Last Updated
- Nov 9, 2010
Practice Location
- Address
- 600 E NORTHSIDE DR
- Address 2
- SUITE D
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-3437
- Phone
- (601) 925-9473
Authorized Official
- Name
- MR. JOHN DURR WISE III, C. PED.
- Title
- PRINCIPAL
- Phone
- (601) 925-9473
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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