Individual
GRACE ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-2273
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-2273
(228) 376-0103
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
35.143963
OH
207R00000X
Internal Medicine Physician
Primary
32490
MS
207R00000X
Internal Medicine Physician
35.143963
OH
Other
Enumeration date
03/28/2020
Last updated
05/08/2024
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