# NORTH BAY FAMILY MEDICAL CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417912486
- **Authorized official:** RICHARD H SMITH M.D. (PRESIDENT)
- **Authorized official phone:** (228) 392-5050

## Contact information

- **Practice address:** 15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
- **Practice address phone:** (228) 392-5050
- **Practice address fax:** (228) 392-9168
- **Mailing address:** 15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
- **Mailing address phone:** (228) 392-5050
- **Mailing address fax:** (228) 392-9168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 11/06/2008
