Individual
DR. DANIEL EDWARD SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5146 HIGHWAY 18, PACHUTA, MS 39347-5031
(865) 246-8543
Mailing address
5146 HIGHWAY 18, PACHUTA, MS 39347-5031
(865) 246-8543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31536
MS
2084P0800X
Psychiatry Physician
DR.0063996
CO
2084P0800X
Psychiatry Physician
MD023769
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029079
KAISER COMMERCIAL NUMBER
CO
Enumeration date
11/30/2005
Last updated
12/13/2023
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