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Individual

MECCA K MAXEY-SMARTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9757 WESTPOINT DR STE 100, INDIANAPOLIS, IN 46256-3329
(971) 962-8893
(317) 944-0470
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01063955A
IN
207Q00000X
Family Medicine Physician
036119520
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
266430767
MEDICARE
IN
05
300023480
IN
Enumeration date
01/24/2008
Last updated
02/27/2023
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