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Individual

DR. EDDIE M SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
103 PICCIOLA PKWY, CUT OFF, LA 70345-3572
(985) 325-6226
(982) 325-6242
Mailing address
PO BOX 457, GOLDEN MEADOW, LA 70357-0457
(985) 325-6226
(985) 325-6242

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18307
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1357464
LA
Enumeration date
04/04/2007
Last updated
05/02/2016
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