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Individual

PHILLIP SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9093 HIGHWAY 15, ACKERMAN, MS 39735
(662) 552-9440
Mailing address
9093 HIGHWAY 15, P.O. BOX 842, ACKERMAN, MS 39735
(662) 552-9440

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
03/26/2012
Last updated
03/26/2012
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