Individual
DERRICK BRICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7521 OLD CANTON RD, MADISON, MS 39110-8669
(601) 856-8041
(866) 404-9501
Mailing address
7521 OLD CANTON RD, MADISON, MS 39110-8669
(601) 856-8041
(866) 404-9501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5718
MS
Other
Enumeration date
08/04/2016
Last updated
06/07/2023
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