Individual
DR. ROBERT HARRISON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2123 SOUTHWOOD RD, JACKSON, MS 39211-6128
(662) 299-5984
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901961
MS
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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