Individual
MR. BRENT AUSTIN SMOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(731) 514-1824
Mailing address
4400 FAIRMEADOW RD, MEMPHIS, TN 38117-6024
(731) 514-1824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1987
TN
363A00000X
Physician Assistant
Primary
PA00167
MS
363AS0400X
Surgical Physician Assistant
2011024428
MO
Other
Enumeration date
06/28/2011
Last updated
05/22/2025
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