Individual
MADISON ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CAPITOL ST, CLINTON, MS 39056-4026
(601) 925-7371
Mailing address
8200 CLAMSHELL AVE, OCEAN SPRINGS, MS 39564-9189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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