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Individual

DR. WILLIAM BENJAMIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3603 BIENVILLE BLVD STE 103, OCEAN SPRINGS, MS 39564-5736
(228) 762-3000
Mailing address
301 FISHER ST RM 1G300, 81 MSGS/SGCQ, KEESLER AFB, MS 39534-2508
(228) 376-5571
(228) 376-0083

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1040
NE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1040
NE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
303359
LA

Other

Enumeration date
05/31/2011
Last updated
03/01/2024
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