Individual
DR. RALPH WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
576 BETHEL RD, BRANDON, MS 39042-7307
(601) 825-2181
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-6440
(601) 849-7557
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
WB10021
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117163
—
MS
Enumeration date
11/20/2006
Last updated
07/08/2007
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