Individual
JERAKAYCIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
476 HOSPITAL DR, CAMDEN, AR 71701-4616
(870) 800-9002
(870) 800-9004
Mailing address
476 HOSPITAL DR, CAMDEN, AR 71701-4616
(870) 800-9002
(870) 800-9004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-9840
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216422001
—
AR
Enumeration date
05/13/2013
Last updated
10/05/2021
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