Individual
BOBBY SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 WEST BEACON STREET, PHILADELPHIA, MS 39350
(601) 656-6116
(601) 656-5445
Mailing address
921 WEST BEACON STREET, PHILADELPHIA, MS 39350
(601) 656-6116
(601) 656-5445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16026
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119762
—
MS
Enumeration date
04/26/2006
Last updated
01/22/2008
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