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Individual

JAMES CLINTON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5250
(601) 984-5283
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5250
(601) 984-5283

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
07804
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00016701
MS
Enumeration date
06/29/2006
Last updated
02/26/2008
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