Individual
DR. STEPHEN KEITH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-3100
(601) 200-3109
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21788
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09034221
—
MS
Enumeration date
12/24/2007
Last updated
04/29/2015
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