Individual
MORGAN THOMAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
391 SOUTHCREST CIR STE 108, SOUTHAVEN, MS 38671-4775
(662) 349-2659
Mailing address
4000 KENTON DR, SOUTHAVEN, MS 38672-7135
(901) 239-1255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
898220
MS
Other
Enumeration date
04/17/2019
Last updated
02/08/2024
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