Mr. Dewayne Troy Proctor
Mr. Dewayne Troy Proctor is a Durable Medical Equipment & Medical Supplies in Cleveland, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
1101 Smith AveCleveland, MS 38732-4059
Phone: (662) 588-5283
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence B1208544 (MS) |
|---|
Record details
| NPI number | 1740329259 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 5, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1101 Smith Ave, Cleveland, MS 38732-4059 |
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