Individual
JOHN HENRY SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 MORRIS CIR, HOMER, LA 71040-2100
(318) 927-1110
(318) 927-1116
Mailing address
104 MORRIS CIR, HOMER, LA 71040-2100
(318) 927-1110
(318) 927-1116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023878
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487384
—
LA
01
—
P01143747
RAILROAD MCARE
LA
Enumeration date
07/04/2006
Last updated
05/30/2013
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