Organization
FAMILY FIRST MEDICINE, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY A SMITH M.D. (OWNER)
(318) 513-1950
Entity
Organization
Contact information
Practice address
902 S VIENNA ST, RUSTON, LA 71270-5830
(318) 513-1950
(318) 513-1952
Mailing address
PO BOX 2034, RUSTON, LA 71273-2034
(318) 513-1950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018988
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448541
—
LA
Enumeration date
12/18/2006
Last updated
07/31/2011
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