Individual
JOSEPH REID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
1036 D A BIGLANE DR, BROOKHAVEN, MS 39601-2331
(601) 835-8285
(601) 835-1546
Mailing address
1036 D A BIGLANE DR, BROOKHAVEN, MS 39601-2331
(601) 835-1182
(601) 835-1546
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
905431
MS
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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