Individual
ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 MEDICAL CENTER DR, WEST POINT, MS 39773-9317
(662) 494-8500
(662) 494-8488
Mailing address
740 MEDICAL CENTER DR, WEST POINT, MS 39773-9317
(662) 494-8500
(662) 494-8488
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10838
MS
207Q00000X
Family Medicine Physician
Primary
10838
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019424
—
MS
05
—
02530579
—
MS
01
—
113650710
BCBS
MS
Enumeration date
11/21/2006
Last updated
09/18/2012
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