Individual
MISS BRIDGET MECHELE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 N 5TH STREET, MCCOMBE, MS 39648
(601) 352-7784
Mailing address
119 ROCKBRIDGE CIRCLE, CLINTON, MS 39056
(269) 290-8513
(601) 968-0028
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
22435
MS
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
22435
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02176325
—
MS
Enumeration date
05/31/2007
Last updated
12/10/2015
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