Individual
JERRY RAND SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3439 KABEL DRIVE, STE 8, NEW ORLEANS, LA 70131
(504) 433-9720
(504) 433-9721
Mailing address
PO BOX 6549, NEW ORLEANS, LA 70174
(504) 433-9720
(504) 433-9721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010108
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111244
—
LA
Enumeration date
07/17/2006
Last updated
07/22/2010
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