Organization
CHILDREN'S MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM H. SMITH JR. M.D. (PRESIDENT)
(601) 856-5105
Entity
Organization
Contact information
Practice address
1867 CRANE RIDGE DR STE 101B, JACKSON, MS 39216-4956
(601) 362-8776
(601) 354-8786
Mailing address
1867 CRANE RIDGE DR STE 101B, JACKSON, MS 39216-4956
(601) 362-8776
(601) 354-8786
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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