Individual
JESSIE J SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(985) 791-4444
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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