Organization
NORTH BAY FAMILY MEDICAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD H SMITH M.D. (PRESIDENT)
(228) 392-5050
Entity
Organization
Contact information
Practice address
15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
(228) 392-5050
(228) 392-9168
Mailing address
15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
(228) 392-5050
(228) 392-9168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009015002
—
MS
Enumeration date
04/20/2006
Last updated
11/06/2008
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