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Individual

SUSAN A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3755
(504) 842-2036
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
301194
LA
207L00000X
Anesthesiology Physician
Primary
65895
GA
207L00000X
Anesthesiology Physician
MD449825
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00554065
MS
05
2411012
LA
Enumeration date
09/18/2007
Last updated
04/29/2021
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