Individual
MR. GEORGE RAYFORD SMITH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
215 MARION DR., MCCOMB, MS 39648-4040
(601) 249-5500
Mailing address
3640 POPLAR SPRINGS DR, MERIDIAN, MS 39305-3741
(504) 578-7744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R881364
MS
Other
Enumeration date
07/06/2011
Last updated
01/11/2012
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