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Individual

MRS. MARCIA R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-4458
Mailing address
1251 FATHER RYAN AVE, BILOXI, MS 39530-3656
(228) 376-4458

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
552825
TX
367500000X
Certified Registered Nurse Anesthetist
901411
MS

Other

Enumeration date
09/07/2005
Last updated
02/28/2017
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