Organization
S&M MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA SMITH BA DEGREE (OWNER)
(662) 633-9633
Entity
Organization
Contact information
Practice address
403 NORTHWEST DEPOT STREET, DURANT, MS 39063
(662) 633-9633
Mailing address
57 BAILEY ST, DURANT, MS 39063
(662) 633-9633
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
MS
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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