Individual
ERIC SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10322 MOSS LEA DR, BATON ROUGE, LA 70818-4729
(225) 570-6818
Mailing address
10322 MOSS LEA DR, BATON ROUGE, LA 70818-4729
(225) 570-6818
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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