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Individual

MS. SANDRA ELIZABETH SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
(228) 523-4965
Mailing address
5067 CRESCENT RIDGE DR, KILN, MS 39556-8405
(228) 255-8710

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R859013
MS

Other

Enumeration date
06/14/2006
Last updated
07/08/2007
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