Individual
DR. BENNETT E SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
118 COLLEGE DR, 5066, HATTIESBURG, MS 39406
(601) 266-5390
(601) 266-4205
Mailing address
118 COLLEGE DR, 5066, HATTIESBURG, MS 39406
(601) 266-5390
(601) 266-4205
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
06466
MS
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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