Individual
MAGGIE MARTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
825 ROAD 1275, BALDWYN, MS 38824-9287
(662) 397-1106
Mailing address
825 ROAD 1275, BALDWYN, MS 38824-9287
(662) 397-1106
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
MART-9VXG32
MS
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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