Randel L Smith MD

NPI 1639288293 - Internal Medicine - 207RC0000X

NPI Details
NPI 1639288293
Gender Male
Enumeration Date 08/29/2006
Last Updated 03/02/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
415 S 28TH AVE
HATTIESBURG MS, 39401-7246, US
Phone (601) 268-5800
Fax (601) 261-3530
Business Location
415 S 28TH AVE
HATTIESBURG MS, 39401-7246, US
Phone (601) 579-5463
Fax (601) 579-5240
Toxanomy
Taxonomy Code 207RC0000X
License State Mississippi
License Number 15148
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According to our database, Randel L Smith MD NPI is 1639288293, taxonomy code is 207RC0000X and license number is 15148, license state is located at Mississippi. Randel L Smith MD physically located at 415 S 28th Ave, Hattiesburg MS, 39401-7246. NPI Number Randel L Smith MD has the Individual type.

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1639288293 NPI number is provided on an as is basis without warranty of any kind. 1639288293 is maintained by the National Plan & Provider Enumeration System. The contents of Randel L Smith MD are for informational purposes only.