Individual
MR. PERCY L SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1883 HWY 43 SOUTH, SUITE D, CANTON, MS 39046
(601) 859-8992
(601) 859-7642
Mailing address
1883 HWY 43 SOUTH, SUITE D, CANTON, MS 39046
(601) 859-8992
(601) 859-7642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA058
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05475760
—
MS
Enumeration date
10/02/2006
Last updated
08/02/2011
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