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Individual

DR. WILLIAM R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 LAKELAND SQUARE EXT, SUITE A, FLOWOOD, MS 39232-7607
(601) 981-1610
(601) 366-2887
Mailing address
1010 LAKELAND SQUARE EXT, SUITE A, FLOWOOD, MS 39232-7607
(601) 981-1610
(601) 366-2887

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
08808
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115699
MS
Enumeration date
10/26/2006
Last updated
02/05/2010
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