Individual
DR. RONALD BLAKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2610 S LAMAR BLVD, OXFORD, MS 38655-5243
(662) 234-1731
(662) 236-2392
Mailing address
2610 S LAMAR BLVD, OXFORD, MS 38655-5243
(662) 234-1731
(662) 236-2392
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13212
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119567
—
MS
05
—
00125758
—
MS
Enumeration date
09/12/2005
Last updated
03/07/2023
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