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Bradley Smith
NPI 1649541244 · on the registry since 2012
Practice
- Address
- 804 Spring St
Waynesboro, MS 39367 - Phone
- (601) 735-2513
- Fax
- (601) 735-1333
- Organisation at this address
- Walgreen Co
Stanley Discount Drugs, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-13
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