Individual
MS. GERALINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 CHINA ST, PORT GIBSON, MS 39150-2501
(601) 201-7096
Mailing address
PO BOX 15, PORT GIBSON, MS 39150-0015
(601) 201-7096
(601) 448-5025
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
800018791
MS
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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