Individual
GEORGE T SMITH-VANIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1860 CHADWICK DR STE 102, JACKSON, MS 39204-3465
(601) 376-2115
(601) 376-2114
Mailing address
1860 CHADWICK DR STE 102, JACKSON, MS 39204-3465
(601) 376-2115
(601) 376-2114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
06467
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016278
—
MS
Enumeration date
08/09/2006
Last updated
09/08/2020
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