Individual
MR. JOHN WESLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 SERIO BLVD, FERRIDAY, LA 71334
(318) 757-8010
(318) 757-9501
Mailing address
204 SERIO BLVD., FERRIDAY, LA 71334
(318) 757-8010
(318) 757-9501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.205642
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
11/18/2008
Last updated
08/15/2012
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