Individual
DR. CHAD P SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
211 N WHITWORTH AVE, BROOKHAVEN, MS 39601-3051
(601) 833-4431
(601) 833-1007
Mailing address
211 N WHITWORTH AVE, BROOKHAVEN, MS 39601-3051
(601) 833-4431
(601) 833-1007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
787
MS
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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