Individual
DR. PATRICK BRENT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
345 LAUGHLIN RD, BOYLE, MS 38730-8802
(662) 719-6020
(662) 725-6250
Mailing address
803 1ST ST, CLEVELAND, MS 38732-2309
(662) 843-2721
(662) 846-1728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21265
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05402200
—
MS
Enumeration date
07/06/2009
Last updated
11/07/2024
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