Individual
MRS. CARLA G. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
300 NISSAN DR, CANTON, MS 39046-8562
(601) 855-8600
(601) 855-8606
Mailing address
244 NORTHBAY DR, MADISON, MS 39110-9111
(601) 853-9534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08258
MS
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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