Individual
RALPH ARNOLD SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-7133
(662) 459-7136
Mailing address
1301 GRAND BLVD, GREENWOOD, MS 38930-2213
(662) 459-7133
(662) 459-7136
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
07161
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113948
—
MS
Enumeration date
09/06/2006
Last updated
07/08/2007
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