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Individual

PAMELA SUE SMITHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
1064 HIGHWAY 51, MCCOMB, MS 39648-8769
(601) 684-5150
Mailing address
PO BOX 990, SUMMIT, MS 39666-0990
(601) 684-5150

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3015-97
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00660240
MS
Enumeration date
04/01/2008
Last updated
04/01/2008
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