Individual
LAURA SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
(601) 815-0434
Mailing address
504 CLINTON CENTER DR STE 4300, CLINTON, MS 39056-5610
(601) 496-9794
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
095545
OH
207R00000X
Internal Medicine Physician
Primary
27080
MS
207RG0100X
Gastroenterology Physician
44722
KY
207RI0008X
Hepatology Physician
44722
KY
207RT0003X
Transplant Hepatology Physician
44722
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201307280
—
IN
05
—
7100358150
—
KY
Enumeration date
08/01/2007
Last updated
09/03/2021
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