Individual
DR. WILLIAM H. SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7726 OLD CANTON RD, MADISON, MS 39110-9299
(601) 856-5105
(601) 856-8637
Mailing address
1867 CRANE RIDGE DR STE 101B, JACKSON, MS 39216-4956
(601) 362-8776
(601) 354-8786
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
07715
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017621
—
MS
Enumeration date
09/07/2006
Last updated
07/08/2007
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