Individual
MR. DAVID ANTHONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP-BC
Contact information
Practice address
620 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2337
(601) 823-2345
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
(601) 824-0342
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901431
MS
Other
Enumeration date
03/16/2016
Last updated
10/02/2019
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