SearchMississippi174H00000X

Beverly Clay

NPI 1023502804 · on the registry since 2018 · sole proprietor

Practice

Address
220 Old Oak Cir
Brandon, MS 39042
Phone
(601) 616-2704
Fax
(769) 218-0011

Registry record

Primary taxonomy
174H00000X
174H00000X
Also registered as
385H00000X
3747P1801X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi