Provider Demographics
NPI:1679758361
Name:MCCLARY, RUTH ROWE
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ROWE
Last Name:MCCLARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 OAKCREST RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-3836
Mailing Address - Country:US
Mailing Address - Phone:803-361-6932
Mailing Address - Fax:803-788-9181
Practice Address - Street 1:2335 OAKCREST RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-3836
Practice Address - Country:US
Practice Address - Phone:803-361-6932
Practice Address - Fax:803-788-9181
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-01
Last Update Date:2008-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies