# ANDREA L. SMITH MD

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

## Provider details

- **NPI number:** 1679714091
- **Authorized official:** DR. ANDREA L SMITH M.D. (OWNER)
- **Authorized official phone:** (662) 624-5485

## Contact information

- **Practice address:** 785 OHIO AVE, SUITE 1D, CLARKSDALE, MS 38614-6217
- **Practice address phone:** (662) 624-5485
- **Practice address fax:** (662) 624-8890
- **Mailing address:** 785 OHIO AVE, SUITE 1D, CLARKSDALE, MS 38614-6217
- **Mailing address phone:** (662) 624-5485
- **Mailing address fax:** (662) 624-8890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 09185 | MS | Yes |

## Other

- **Enumeration date:** 03/14/2009
- **Last updated:** 05/01/2009