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David Smith
NPI 1740759810 · on the registry since 2018 · sole proprietor
Practice
- Address
- 17 Daisy Ln
Foxworth, MS 39483 - Phone
- (601) 395-7602
- Organisation at this address
- Providence
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 17 Daisy Ln, Foxworth, MS
Registry record
- Primary taxonomy
- 347E00000X
347E00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-19
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