Individual
CHRISTOPHER ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 4TH ST, ALEXANDRIA, LA 71301-8411
(318) 441-1041
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
335544
LA
208D00000X
General Practice Physician
29507
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2019
Last updated
07/12/2024
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