Individual
DR. GERALD WAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
104 E VAUGHN AVE, RUSTON, LA 71270-5953
(318) 255-2463
(318) 255-2463
Mailing address
485 STOW CREEK RD, RUSTON, LA 71270-1638
(318) 251-2331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
336
LA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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