person
John D Wise III
Durable Medical Equipment & Medical Supplies in Clinton, Mississippi
NPI 1346543345

John D Wise III is a Durable Medical Equipment & Medical Supplies based in Clinton, MS. John D Wise III practices in Clinton, MS. The NPI Number for John D Wise III is 1346543345 and holds a License No. 5337740001 (Mississippi).

The current practice location address for John D Wise III is 600 E Northside Dr, Clinton, MS and can be reached out via phone at 601-925-9473 and via fax at 601-925-9490.

Location: 600 E Northside Dr, Clinton, MS, 39056-3437
person
Provider Profile Details
NPI Number
1346543345
Provider Name
John D Wise III
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 E Northside Dr, Clinton, MS, 39056-3437
Phone Number
601-925-9473
Fax Number
601-925-9490
Provider Enumeration Date
12/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02053764 05 MS
institution
Provider Business Practice Location Address Details
Address
600 E Northside Dr
City
State
Zip
39056-3437
Phone Number
601-925-9473
Fax Number
601-925-9490
person
Provider Business Mailing Address Details
Address
600 E Northside Dr
City
State
Zip
39056-3437
Phone Number
601-925-9473
Fax Number
601-925-9490
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
5337740001 (Mississippi)
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's use in the home and that are usable for an extended period of time.
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