Individual
TERA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
22250 DERRICK RD, PASS CHRISTIAN, MS 39571-5301
(985) 634-6124
Mailing address
22250 DERRICK RD, PASS CHRISTIAN, MS 39571-5301
(985) 634-6124
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
MS
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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