Individual
DR. PHILIP C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 BAPTIST DR STE 201, MADISON, MS 39110
(601) 853-2020
Mailing address
1200 N STATE ST STE 330, JACKSON, MS 39202-2027
(601) 353-2020
(601) 714-5110
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17782
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001256719
—
MS
Enumeration date
06/22/2005
Last updated
03/18/2019
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