Individual
BALEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20 S SIXTH ST, BAY SPRINGS, MS 39422-9055
(601) 764-4501
Mailing address
1416 HIGHWAY 513, QUITMAN, MS 39355-8810
(601) 616-3919
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SMIT-43RZ4T
MS
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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