Individual
SYDNEY CAROLYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5012
Mailing address
124 COUNTY ROAD 1389, SALTILLO, MS 38866-7103
(662) 401-6104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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