Individual
DR. JOHN MARTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
242 W SHAMROCK STREET, PINEVILLE, LA 71360
(318) 484-6850
(318) 484-6850
Mailing address
5200 LARK LN, ALEXANDRIA, LA 71303-2435
(318) 443-7492
(318) 484-6850
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.15608
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134651
—
LA
Enumeration date
10/06/2006
Last updated
07/09/2007
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