Individual
DR. CHRISTINE L MILLS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8110 SUMMA AVE, BATON ROUGE, LA 70809-3419
(225) 275-4656
(225) 412-9547
Mailing address
8110 SUMMA AVE, BATON ROUGE, LA 70809-3419
(225) 275-4656
(225) 412-9547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022774
LA
207Q00000X
Family Medicine Physician
L22774
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666807
—
LA
01
—
80195165
RAILROAD MEDICARE
LA
Enumeration date
12/30/2005
Last updated
03/14/2023
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